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Camp Information
Group Description
FAQs
Register
Registration Form
Please be sure to fill out all fields before submitting .
Parent/ Guardian First Name
Parent/ Guardian Last Name
Parent/ Guardian Email
Parent/ Guardian Cell Phone
Parent/ Guardian Home Address
Parent/ Guardian Apartment Number
Parent/ Guardian City
Parent/ Guardian State
Parent/ Guardian Zip Code
Camper First Name
Camper Last Name
Camper Gender
Female
Male
NonBinary
Other
Camper Age
Camper Date of Birth
Camp Session(s)
I - (July 15th - 19th)
II - (July 22nd - 26th)
I and II
Group
Minnows
Starfish
Flounders
Squiddies
Dolphins
Sand Sharks
Please list any Allergies that the camper might have?
Please list any medical issues that the camper might have?
Please list any medications that the camper is taking?
Emergency Contact #1 - First Name
Emergency Contact #1 - Last Name
Emergency Contact #1 - Email Address
Emergency Contact #1 - Cell Phone Number
Emergency Contact #2 - First Name
Emergency Contact #2 - Last Name
Emergency Contact #2 - Email Address
Emergency Contact #2 - Cell Phone Number
Insurance Provider
Insurance Plan Number
Insurance Member ID Number
Insurance Group Number
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