Please complete ALL FIELDS before submitting your registration form. Thanks, and see you at camp!

Participant Name *
Participant Name
Session/s - Select All That Apply *
Segment/s of Session 1
Segment/s of Session 2
Segment/s of Session 3
Segment/s of Session 4
Do We Have Your Permission to Apply Sunblock? *
Swim Level *
If camper is on FSBC Swim Team would you like him / her to attend practice during morning session?
Parent/Guardian 1 *
Parent/Guardian 1
Address *
Address
Home Phone
Home Phone
Work Phone
Work Phone
Mobile Phone *
Mobile Phone
Best Number to Reach Parent/Guardian 1 *
Best Number to Reach Parent/Guardian 1
Parent/Guardian 2
Parent/Guardian 2
Address
Address
Home Phone
Home Phone
Work Phone
Work Phone
Mobile Phone
Mobile Phone
Best Number to Reach Parent/Guardian 2
Best Number to Reach Parent/Guardian 2
Emergency Contact (other than parent) *
Emergency Contact (other than parent)
Emergency Contact Phone *
Emergency Contact Phone
Primary Care Doctor Phone Number
Primary Care Doctor Phone Number
I understand this registration is incomplete until I complete and submit the Liability Waiver (below) *