Registration Waiting List

Any Other Information?

Parent/Guardian Name: *

Address: *

Age: *

Emergency Contact Phone: *

Parent/Guardian Phone: *

Please click the link below and read the Waiver and Consent Form before submitting registration. *

By checking this box I indicate that I have provided true information and have read, understand and agree to all statements on the Waiver and Consent Form and any other forms required by the camp.

Email: *

Emergency Contact Name: *

Camper Name: *