Parent/Guardian same as previous form:
Information for ... Select child # registering now Camper's Grade May 1 At the time of Registration Is Child's Address Same as Parent/Guardian
Medical and Allergy Information
Does Camper have any medical conditions or special needs?
Camper's Medical History including physical limitations
Does Camper have any food or medication allergies?
Camper's Allergies - Food, Medication, Other
Does Camper take any medicaitons?
Loved One's Date of Birth Loved One's Date of Death IMPORTANT: Please describe below the loved one and Camper's relationship and share some information about the person who died, such as what was important to them, their profession, hobbies, values.
Upload one or more pictures of the Camper's Loved One to use during camp memorial.
Picture of Deceased Upload Picture
Upload supported file (Max 15MB)
Additional Picture if desired Upload Picture
Upload supported file (Max 15MB)
Additional Picture if desired Upload Picture
Upload supported file (Max 15MB)
Has the Camper lost someone else?
2nd Loved One's Relationship to Camper 2nd Loved One's Date of Birth 2nd Loved One's Date of Death IMPORTANT 2nd: Please describe below the loved one and Camper's relationship and share some information about the person who died, such as what was important to them, their profession, hobbies, values.
Upload one or more pictures of the Camper's Loved One to use during camp memorial.
2nd Loved One's Picture of Deceased Upload Picture
Upload supported file (Max 15MB)
2nd Loved One's Additional Pic if desired Upload Picture
Upload supported file (Max 15MB)
2nd Loved One's Add Pic if desired Upload Picture
Upload supported file (Max 15MB)
Has the Camper lost another loved one?
3rd Loved One's Relationship to Camper 3rd Loved One's Date of Birth 3rd Loved One's Date of Death IMPORTANT 3: Please describe below the loved one and Camper's relationship and share some information about the person who died, such as what was important to them, their profession, hobbies, values.
Upload one or more pictures of the Camper's Loved One to use during camp memorial.
3rd Loved One's Picture Upload Picture of Deceased
Upload supported file (Max 15MB)
3rd Loved One Additional Pic Upload Picture if Desired
Upload supported file (Max 15MB)
3rd Loved One's Add Pic if desired Upload Picture
Upload supported file (Max 15MB)
Please attach a picture of both sides of any card issued by the
insurance company that provides coverage to the Camper below.
Front of Camper's Insurance Card Upload Insurance Card - FRONT
Upload supported file (Max 15MB)
Back of Camper's Insurance Card Upload Insurance Card - BACK
Upload supported file (Max 15MB)
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