Camp Registration
Making memories that last a lifetime.

Participant Information

Participant 1

Full Name *

Birth Date * +

Grade *

Activity # *

Fee ($) *

Participant 2

Full Name

Birth Date +

Grade

Activity #

Fee ($)

Participant 3

Full Name

Birth Date +

Grade

Activity #

Fee ($)

City Resident?
(non-city residents add $5.00 for each participant) *

Yes - I am a city resident

No - I am not a city resident

Total Fees for all Participants:

0.00

Household / Adult Primary Contact

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone

Email Address *