2017 High School - $175
 
2017 High School - $175
Camper Name  * 
Full Mailing Address  * 
Gender  * 
Age  * 
Grade (in the Fall)  * 
Parent/Guardian Name and Phone #
Parent/Guardian Email  * 
Camper’s Email
Emergency Contact Name and Phone #  * 
REMINDER: Please complete a Medical/Media/Activity form and send it to camp with your child - it is found on the main registration page.
Current Medications and dosage  * 
Allergies  * 
Dietary or Special Needs  * 
Activity restrictions  * 
Camp Bunk Buddy
Swim Skill Level  * 
Camp Attendance  * 
Please send me a camp newsletter  * 
May we use your child’s photo in promotionals or on the web  * 
Select Yes to ride the bus to camp. A $25.00 fee will be added to your total due. The total at the bottom of this form will include this fee.  * 
Tell us where your child will need to meet the bus.
Select Payment Option - Note: If you are receiving a scholarship for all or part of your fee, please fill out a scholarship request form. found on the Registration page.  * 
Enter today's payment amount here IF Full Payment is not selected above.  * $ 
Comments
Your Email Address  * 
Total $
 
 
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