Registration Information

• Ticket Name

  Camper Name

  Age*

  Grade*

  Gender* Male Female

  Shirt Size * Youth Medium Youth Large Youth XL Adult Small Adult Medium

  Legal Parent/Guardian Name

  Address*

  City*

  State* AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UM UT VA VI VT WA WI WV WY

  Postal Code/Zip*

  Email

  Emergency Contact*

  Phone*

  Relationship*

  Emergency Contact*

  Phone*

  Relationship*

  Please check box if you agree to the medical release terms (located at the end of the camp description above)* I AGREE