Camper's Name *

First Name

Last Name

Age Range

8-12 yrs old

13-17 yrs old

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Youth Shirt Size

Small

Medium

Large

XL

Adult Shirt Size

Small

Medium

Large

XL

XXL