Authorization Form

A completed form for each camper is required. If a camper is attending multiple weeks, only one authorization form is necessary.

Camper Name*
First Last
Camper Birthdate
Date Format: MM slash DD slash YYYY
Parent 1 Name*
First Last
Parent 1 Cell Phone*
If you don't have a cell phone, enter home phone.
Parent 1 Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent 2 Name
First Last
Parent 2 Email
Parent 2 Cell Phone
If you don't have a cell phone, enter home phone.
Name*
First Last
Date*
Date Format: MM slash DD slash YYYY