Adventure Camp Registration Form

Please fill out all of the fields below to register for camp.
After you hit submit, click the final registration link to complete and pay for your camp registration.

Which week are you registering for?*

June 19 - 23
June 26 - 30

Child's Info

Child's Name*

First Last

Child's Birth Date*

Current Grade Level*

Gender*

List any pertinent medical info:*

List any medications your child is required to take while at camp:*

Special information we should know about your child:*

Camp T-shirt size:*

List all persons authorized to pick up your child:*

Parent Info

Parent Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Alternate Phone*

Email*

Emergency Contact*

Emergency Phone*

After you hit submit, you'll be redirected to a page with the final registration link to complete and pay for your camp registration.