2016 Camp Discovery

June 27-July 1
Registration fee $70.00

CAMPER INFORMATION:

Camper's Name:

Address:

Age:

Date of birth:

Camper's upcoming grade level:

Camp T-Shirt Size (included in registration cost)
Gildan Ultra Cotton

Pictures and videos of campers may be used on our web site, and in our newsletter, brochures, and other marketing materials.

Camper's Name:


MEDICAL INFORMATION:

Dietary restrictions:

Known food allergies:

Medical conditions:

Prescription medications:

Other health information:


EMERGENCY CONTACT INFO:

Emergency Contact 1:

Name:

Relation to camper:

Daytime phone number:

Cell phone:

Email:

Emergency Contact 2:

Name:

Relation to camper:

Daytime phone number:

Cell phone:

Email:

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