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 - SESSION 1 + 2 FULL *
Segment/s of Session *
Do We Have Your Permission to Apply Sunblock? *
Swim Level *
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 *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
I understand this registration is incomplete until I complete and submit the Liability Waiver (below) *