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Camper Registration 2019
Registration form for the Christian Community Children's Camp in British Columbia.
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* Indicates required question
Email
*
Your email
Camper's First Name
*
Your answer
Camper's Last Name
*
Your answer
Grade in school (2018-19 school year)
*
2nd
3rd
4th
5th
6th
7th
8th
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other:
What school did the camper attend during the 2018-19 school year?
Your answer
What school will the camper attend during the upcoming 2019-20 school year?
Your answer
Parent's/Guardian's First Name
*
Your answer
Parent's/Guardian's Last Name
*
Your answer
Home (main) phone
*
Your answer
Alternate phone
Your answer
Address
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
Your answer
Is the camper a swimmer?
*
Yes
No
Any food requirements?
*
None
Vegetarian
Vegan
Gluten-free
Dairy-free
Allergies (see next question)
Other:
Required
Does the camper have non-food allergies?
*
Yes
No
Please list the camper's allergies and note any care options (epi pen, medication, etc.)
Your answer
Please describe any previous camp experience the camper has had:
Your answer
Will the camper be attending with a friend? If so, please list their name(s) and relationship to camper:
Your answer
Do you foresee any special challenges this camper may face at camp this year?
Your answer
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