Camper Information

Please enter the below required information for your camper. If you have multiple campers enrolled, please submit 1 form for each camper.

Parent first name(Required)

Parent last name(Required)

Email(Required)

Phone(Required)

Address(Required)

Street City Zip

Hidden

Series ID

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Activity ID

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Amount paid

Pick up permissions * Please include yourself on this list*(Required)

Please include the name as it appears on the ID of each person who will have permission to pick up your child.

Child first name(Required)

Child last name(Required)

Child DOB(Required)

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Child Gender

Child Allergies(Required)

Any additional notes you would like to add?

Hidden

School

Emergency contact first name(Required)

Emergency contact last name(Required)

Emergency contact phone number(Required)

Emergency contact email

My child is enrolled in(Required)

Full day 9-4

AM 1/2 day 9-12:30

PM 1/2 day 12:30-4