To be filled out ONLY by the Parent or Legal Guardian of the camper.
Each individual camper will need to apply separately.
Date Format: (mm/dd/yyyy) Grade is for Fall of 2019
Parent or Legal Guardian's Information
Please fill out all fields that are applicable to the camper's family.
This section must be completed by the Parent or Legal Guardian of the above named camper in order for this application to be acceptable.
Additional Emergency Contact Information
In a case of emergency, attempts will always be made to contact the parent/guardian first. This extra contact is who you would want us to contact if we are unable to connect with you (parent/guardian).
We have read and understand the forgoing requests and release. IN WITNESS WHEREOF, we have executed this request and release