Fall Registration

Camper Information

Name

Phone

Name of group or Day of the week your class meets

Camper 1 Name (First and Last):

Camper 1 Birthday

Camper 1 Age

Camper 1 Allergies / Dietary Restrictions

Camper 1 Experience Level

Contact Information

Parent / Guardian 1 Name (First and Last)

Parent / Guardian 1 Relationship to Camper

Parent / Guardian 1 Email

Parent / Guardian 1 Phone Number

Parent / Guardian 2 Name (First and Last)

Parent / Guardian 2 Relationship to Camper

Parent / Guardian 2 Email

Emergency Information

Emergency Contact 1 Name

Emergency Contact 1 Relationship to Camper

Emergency Contact 1 Phone Number

Emergency Contact 1 Address

Emergency Contact 2 Name

Choose a Special Pin or Phrase for Authorized Pickup (Please alert us ahead of time of someone else picking up your camper, ID will be required at pickup for anyone picking up including parents)

Fall Registration

Keep in Touch

About Us

Quick Links

other Links

Contact Details

Office Hours