Camp Title: __________________________________ Camp Dates: ______________
Camper’s Name: _______________________________ Today's Date: ______________
Address: ______________________________________________________
City: __________________________________ State: ___ Zip: ____________
Daytime Phone: (____)_____________ Evening Phone: (____)_____________
Parent/Guardian: _________________________________
CAMP T-SHIRT Size (included in camp price)
| Children's: |
Small |
Medium |
Large |
X-large |
other ______ |
Grade Completed (June '08): ____________ Age (as of June 30, 2008): ________
Total Enclosed: $__________