camp-vy

Child's Name

Child's DOB

Mailing Address

City/State/Zip

Physical Address if Different:

Phone#

Your Email

Parent/Guardian's Name

Parent/Guardian's Phone#

Grade Next Year

High School

Height

Weight:(required)

Size Shirt:
 Youth Adult

 S M L XL XXL

Size Shorts:
 Youth Adult

 S M L XL XXL

Is child allergic?:
 Yes No

If yes, Please List: