Registration

Girls Camp 2021 Registration

Please complete the form below for each attendee to camp.

First Name(*)

Invalid Input

Last Name(*)

Invalid Input

eMail(*)

Invalid Input

Phone Number(*)

Invalid Input

Street Address(*)

Invalid Input

City(*)

Invalid Input

Zip(*)

Invalid Input

Age as of December 31, 2021(*)

Invalid Input

Camp Level(*)

Invalid Input

Current Grade in School(*)

Invalid Input

Ward(*)

Invalid Input

Parent or Guardian Name(*)

Invalid Input

Emergency Contact Name

Invalid Input

The name of someone not at camp to contact in case of an emergency.

Emergency Contact Phone

Invalid Input

Shirt Size(*)

Invalid Input

Allergies to food or medicine(*)

Invalid Input

Special Physical/Mental Health Considerations(*)

Invalid Input

Medications(*)

Invalid Input

Other

Invalid Input

Any other information Stake Leaders should know (This information will be kept confidential)