Summer 2023 Kids Camp – Members

Members

Kids Camp Registration

About The Camper:

Wanuskewin Camp Week Name

Youth's Name(Required)

First Last

Age(Required)

Birthday(Required)

Grade(Required)

Health Card Number(Required)

Adult's Name (Parent/Guardian)(Required)

First Last

(Authorized to pick-up child, and primary emergency contact)

Address(Required)

Street Address Address Line 2 City Postal Code

Cell Phone(Required)

Home Phone(Required)

Work Phone(Required)

Email Address(Required)

Email Address Confirm Email Address

Preferred Method of Contact(Required)

Are you needing before or after care?

Before & After camp care available for additional cost ($40/week)

Health History

Please list any allergies & treatments:

Does Camper carry an EpiPen?

Yes

Please list any medical conditions to be aware of:

Will Camper need to take any medication while on site?

Yes

Special Accommodations/ Accessibilities:

Please let us know of any special physical or behavioral needs or accommodations we should be aware of so that we can provide the best possible support and camp experience for our participants.

Additional Contacts

Who else is approved to pick up your youth end of day? (only names on this list will be allowed to do sign out)

Additional Contact 1

First Name Last Name

Phone

Additional Contact 2

First Name Last Name

Phone

Additional Contact 3

First Name Last Name

Phone

Additional Comments/ Information(Required)

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Summer 2023 Kids Camp – Members

Members

Kids Camp Registration

About The Camper:

Health History

Additional Contacts

Join the Herd

Cart

Summer 2023 Kids Camp – Members

Members

Kids Camp Registration

About The Camper:

Health History

Additional Contacts

Join the Herd

Cart

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