Summer Camp Sign-Up Form

Camper Name *

Camper’s Age *

Camper Skill Level * 1st time everBeginnerIntermediateAdvancedHigh Performance

Special Notes/Needs regarding Camper

Parent/Guardian Number *

E-Mail *

Parent/Guardian Name *

Emergency Contact Name *

Emergency Contact Relation to Child *

Emergency Contact Phone *

Week 1 YesNo

Week 2 YesNo

Week 3 YesNo

Week 4 YesNo

Week 5 YesNo

Week 6 YesNo

Week 7 YesNo