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123 Street Avenue, City Town, 99999

(123) 555-6789

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Staff Form


Registration is a two step process. Please make sure to fill out & submit the FORM and then proceed with PAYMENT below.

STAFF FORM

Staff Registration for Camp:
Camper Information
Name of Camper *
Name of Camper
M/F *
Date of Birth *
Date of Birth
Phone *
Phone
Medical Alert
Please include the camper's name as it appears on card.
Doctor's Phone Number *
Doctor's Phone Number
Emergency Contact's Phone Number
Emergency Contact's Phone Number
Allergies *
Participant is allergic to: (list any foods, medication, insect stings, environmental allergies)
Release *
I accept that the Camp is not a "peanut free" facility and that the Camp cannot provide assurance that there will be no exposure of the camper to new or previously identified allergens.
Do you carry an EPI-PEN? *
Please include any additional allergy information.
Please include any prescribed medications.
Agreement *
By completing this form, all relevant health and medical information for the listed participant has been communicated to Mount Forest Camp. NOTE: Information disclosed on this form may be communicated to the appropriate camp staff at the discretion of the Head First Aid Officer.

PLEASE SUBMIT YOUR FORM ABOVE BEFORE PROCEEDING WITH PAYMENT BELOW.


Payment

Staff Fee
50.00
Quantity:
Add To Cart
Staff Fee - Spring Alive
30.00
Quantity:
Add To Cart