EmailMe Form - WAITLIST

Camper's Name *

First Last

Does the camper have any known allergies? *

Yes

No

Age Group (the grade they are currently enrolled in 2022/2023): *

Please specify

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 *