Camper Info Form

Camper Info Form

Tell us about your camper!

If registration fees are due, we will contact you within 24 hours to confirm payment information.

*Jungle Camp is free to After School Program members during the school year.

Email

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Alternate Phone

(###)

###

####

Authorized Pickups

Date of Camp

MM

DD

YYYY

Child 1

Name

First Name

Last Name

Age in Years

Allergies, Medical Conditions, or Notes

Camp Track Child 1

Child 2

Name

First Name

Last Name

Age in Years

Allergies, Medical Conditions, or Notes

Camp Track Child 2

Child 3

Name

First Name

Last Name

Age in Years

Allergies, Medical Condition, or Notes