Registration Form

Mini Camp Registration Form

Mini Camper Name: _______________________________ Age: ________

Parent’s Name: ___________________________________________________________

Address: __________________________________________________________________

Phone Number: ________________________________________

E-mail: _______________________________________________

Food Allergies: _________________________________________

Anything we should know about:_____________________________________________________________

T-Shirt size: (youth) S M L Adult S (please circle a size)

EmergencyContact: Name:___________________________________________________________________________________________________________________________________________________________Emergency______________________

Relation: __________________________________

Phone Number: ____________________________