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Play Nice Summer Camp Registration
Camper's First name
Last name
Parent/Caregiver Full Name
Parent/Caregiver Email
Parent/Caregiver Phone
Emergency Contact
Emergency Contact Phone
Authorized Person who can Pick Up Camper (Person must have ID)
Multi-line address
Country/Region
*
Address
*
Address - line 2
*
City
*
Zip / Postal code
*
Camper's Birthday
Month
Day
Year
What grade is the camper in?
Camper's hobbies?
Camper's t-shirt size
Please list any allergies or medical issues we should be aware of.
Please sign if you agree to allow your camper's photo to be used for camp promotion only.
Sign in the box or use the keyboard to type.
Signature field is empty.
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Does camper drive and have a car?
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