Camp Friendship Summer Registration 2017

Camp Friendship Registration Form 2018

Complete form below to sign up your child for camp
1st Child's Name: *
Last Name , First Name
2nd Child's Name:
Last Name , First Name
3rd Child's Name:
Last Name , First Name
4th Child's Name:
Last Name , First Name
1st Child's Birth Date *

Month Day Year
2nd Child's Birth Date

Month Day Year
3rd Child's Birth Date

Month Day Year
4th Child's Birth Date

Month Day Year
Camp T-Shirt
Select Tshirt size and quantity
Youth Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult 2XLarge
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent's Names *
Primary Contact Phone Number *

Area Code Phone Number
Mom Cell Phone

Area Code Phone Number
Mom Work Phone

Area Code Phone Number
Dad Cell Phone

Area Code Phone Number
Dad Work Phone

Area Code Phone Number
E-mail: *
Authorized Persons who can pick up camper(s) *
Emergency Phone and Contact Name *
Doctor's Name and Contact Number *
Any known allergies
Please Indicate the weeks your child will be attending

Entire Summer Partial Weeks
If Partial weeks, please list dates
List date ranges
Payment
prev next ( X )
USD Registration - $65 per child / Regular Weekly Tuition - $105
Should be Empty:

Camp Friendship Registration Form 2018