Select the week(s) of camp to register: *

choose one or both

June 10-14

July 22-26

Child's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Parent/Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Allergies or Dietary Restrictions *

Yes

No

Volunteer Opportunity

Are you interested in volunteering at camp?

Yes

No

IMPORTANT

Is your camper ready to cooperate and participate in fun and risky group activities like tree climbing and river exploration? Will they be able to accept safety and peaceful behavior as the priorities of the camp? Are they ready to do what everybody else is doing and go along with what is best for the entire group?

Yes definitely

No