Registration for Sleep-Away Camp Your Name * First Name Last Name Email * Phone * (###) ### #### Child's Name First Name Last Name Which overnight Camp August 4-8 (Co-Ed Ages 8-11) August 11-15 (Girls/Non-Binary Ages 11-14) Home Address Child's preferred gender Child's Birthday Please describe your child's health Dietary/restrictions/sensitivities/allergies and degree of severity, reactions, etc Alternative Emergency Contact Information Please describe your child's relationship to nature and the outdoors: What is your child's history with overnights? What should I know about their bedtime routine/sleeping habits? Consider their personality traits, their strengths, and their challenges. What should I know about this young person to help them have the best experience possible? I respectfully request your consent to use participant photographs on my website YES/NO Could your child bring a bicycle & helmet for the week? Yes No Payment preference: Paid in full ($1,025) 2 payments of ($550) Your Venmo handle for billing: Thank you!