As the Parent/Guardian, please provide your information as the Emergency Contact

Emergency Contact *

Emergency Contact Relationship *

Emergency Contact Phone *

Emergency Contact Email *

The Following information is about your child (a.k.a. "the camper")

First Name *

Last Name *

Date of birth *

Gender *

Address *

City *

State *

Postal code *

The following information is in regard to the camper's medical information and insurance coverage

Does Your child have any allergies, illnesses, or special needs we should be aware of? *

What medications need to be administers on a regular basis during camp. *

Insurance Provider *

Insurance Policy ID *

The following two questions are required to be answered "yes," in order to attend camp.

IAF Camp has my permission to administer medication to my child, if necessary, as stated in the "Wafloy Release Waiver"? *

Yes

IAF Camp has my permission to seek medical treatment to my child, if necessary, as stated in the "Wafloy Release Waiver"? *

Yes

T-Shirt Size *

Favorite Snacks

Favorite Activities

Cabin / Room Requests

Counselor Request

Parent's Note(s)