Summer Youth Camp Applicatipn Please enable JavaScript in your browser to complete this form.All camp weeks are for youth ages 7 to 14. Lunches will be provided. Camp hours are 9am to 3pm. Your Child's Name *FirstLastChild's Age *Any Additional Children? *YesNoChild's Name *FirstLastChild's Age *Child's Name (optional)FirstLastChild's Age (optional)Parent/Guardian Name *FirstLastPhone *Secondary Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact *FirstLastEmergency Contact PhoneDoes your child/children have any allergies we should be aware of?milkeggspeanuts/nutssoywheattree nutsfish/shellfishother Noneif other, please specify *does your child/children take any medication we should be aware of? *yesnoIf so, please specificy which medications, how much should be taken, when and how. MessageSubmit Skills Filable Forms, Fillable Form, Form, Forms, Register, Summer Youth Camp Posted on June 23, 2019 ← Internal Forms & Documents Human Resources Department Monthly Reports →
