Form

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Applicaion para el campamento en Español sera desponeble proximamente.

Registration Form (Must be 18 yrs. or older)

Name of Parent / Guardian:
* First name
* Last name
* Level of hearing

* Address

* City * State
* Zip Code Country
* Telephone (555-555-5555)
email address
email address again (confirmation)

Additional Campers (not including the above)

Campers

1) Additional Registrant

Information:

* Name:
* Age: * Level of hearing :

2) Additional Registrant

Information:

* Name:
* Age: * Level of hearing:

3) Additional Registrant

Information:

* Name:
* Age: * Level of hearing:

4) Additional Registrant

Information:

* Name:
* Age: * Level of hearing:

5) Additional Registrant

Information:

* Name:
* Age: * Level of hearing:

Interpreter Information:
Spanish ASL Other

If you wish to defer payment or have financial hardship, please select the "Apply for Campership" box below. Please note that a limited number of funds are available to help families attend who are experiencing financial hardship. A non-refundable $50 deposit is required to reserve space for all applicants.

Apply for Campership

<< Back to Family Camp Index

Applicaion para el campamento en Español sera desponeble proximamente. Registration Form (Must be 18 yrs. or older)

Additional Campers (not including the above)

Applicaion para el campamento en Español sera desponeble proximamente.

Registration Form (Must be 18 yrs. or older)