PARENT/GUARDIAN INFO: *
PARENT/GUARDIAN INFO:
Address: *
Address:
Phone: *
Phone:
CHILD 1 INFO:
Name:
Name:
Emergency Contact Name:
Emergency Contact Name:
Emergency Contact #: *
Emergency Contact #:
I want to be with:
I want to be with:
CHILD 2 INFO:
Child Name:
Child Name:
Emergency Contact Name::
Emergency Contact Name::
Emergency Contact#:
Emergency Contact#:
I want to be with:
I want to be with:
Waiver: *
MY CHILD WOULD LIKE TO BE A CAMP LEADER (Grades 7-12):