Camp Registration Form

1. Child/ren’s Information
Child 1*
First NameMiddle NameLast Name
Date of Birth*
MonthDayYear
Age as of 12.7.21*
Gender*
MaleFemale
Does he/she suffer from any allergies or take any medication? Please specify if yes.*
Child 2
First NameMiddle NameLast Name
Birth Date
MonthDayYear
Age as of 12.7.21
Gender
MaleFemale
Does he/she suffer from any allergies or take any medication? Please specify if yes.
Child 3
First NameMiddle NameLast Name
Birth Date
MonthDayYear
Age as of 12.7.21
Gender
MaleFemale
Does he/she suffer from any allergies or take any medication? Please specify if yes.
2. Parent information

Address*

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1. Child/ren’s Information