Registration Form

Please complete this form so we have all necessary information regarding your child. If you have two kids attending you only need to complete one form but include both kids info.

Camper's Full Name

Camper's Date of Birth

Camper's Current Grade Level ( K - 5 )

Camper 2 Full Name

Camper 2 Date of Birth

Camper 2 Current Grade Level ( K - 5 )

Primary Parents/Guardians Full Name

Primary Parent/Guardian Phone Numbers

Primary Parent/Guardian Email Address

Home Address (Street, City, State, Zip)

In Case of Emergency

Are you the emergency contact?

Yes

No

If no, please provide the emergency contact name and phone number

Emergency Contact Name

Emergency Contact Phone No.

TRACK OUT CAMP

Registration Form

In Case of Emergency