Membership Status *

Member

Non-member

Camp Session *

June Session I

June Session II

July Session I

July Session II

August

Child's Name *

First Name

Last Name

Camper's Birthday Date *

MM

DD

YYYY

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Membership Status *

Member

Non-member

Campers Birthdate *

MM

DD

YYYY

Campers must be toilet trained to participate. *

Yes, my child is toilet trained.

Parent/Guardian Phone *

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