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*

MonthDayYear
2nd Child's Birth Date

MonthDayYear
3rd Child's Birth Date

MonthDayYear
4th Child's Birth Date

MonthDayYear
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

CityState / Province

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

Area CodePhone Number
Mom Cell Phone

Area CodePhone Number
Mom Work Phone

Area CodePhone Number
Dad Cell Phone

Area CodePhone Number
Dad Work Phone

Area CodePhone 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 SummerPartial Weeks
If Partial weeks, please list dates
List date ranges
Payment
prevnext( X )
USDRegistration - $65 per child / Regular Weekly Tuition - $105
Should be Empty:

Camp Friendship Registration Form 2018