EmailMe Form - Registration Form

Name of Child
First Last
Age of Child
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Does the camper have any known allergies?
Yes
No
Has the camper been camping before?
Yes
No
Grade
Name of Parent
Emergency Contact Information
Please enter the name of the parent or guardian who should be contacted in the case of an emergency.
Name
First Last
Relationship
Phone
### - ### - ####
Email
Saturday School $20, SAT Bootcamp $15, Lego Robotics Team $95
Questions or Comments