Please fill out our application for your camper! Name * First Name Last Name Gender * Male Female Street/Box * Town * Province * Email * Phone * Age * Birthday MM DD YYYY Parent/Guardian * Same Cabin As One name only Camp to Attend * FULL - Junior 2 - age 8-11 (July 15-19) FULL FOR GIRLS - Junior 3 - age 8-11 (July 22-26) Teen 1 - age 12-14 (July 29 - Aug 3) Teen 2 - age 14-17 (Aug 5-10) Sports Camp - Ages 14-17 (Aug 5-10) Lil' Uns - Age 5-7 (Aug 12-14) Deeper - Ages 13-17 (Aug 14-16) 9 Digit Medical # * 6 digit Medical # Are there any medical issues we should know about? Allergies Asthma Bed Wetting Epilepsy Diabetes Sleep Walking Other If any of the above items are checked, please explain Do we have your permission to authorize medical treatment by a doctor? Yes No Emergency Contact Person * First and Last name required Emergency Contact Home Phone/Work Phone * Please enter the names of people who can visit or pick up your child from camp I have read the waiver and terms of enrollment on the brochure and am in agreement * Yes Thank you! You are registered