Registration for Sleep-Away Camp

Your Name

First Name

Last Name

Phone

(###)

###

####

Child's Name

First Name

Last Name

Which overnight Camp

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

Payment preference:

Paid in full ($1,025)

2 payments of ($550)

Your Venmo handle for billing:

Thank you for your registration! To send your $200 deposit, see Venmo & Paypal handles above. Final payment is due one month ahead of camp (June 16 or July 13).

Registration for Sleep-Away Camp

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