Please submit the following information to register your child for Extreme Walk Camp. 

Camper

Boy          Girl    
T-shirt Size
please select oneYouth SmallYouth MediumYouth LargeYouth X-LargeAdult Small
Current Grade
please select oneSecondThirdFourthFifth
Age

Street Address

City  Zip
Parent/Guardian

Contact Numbers
Mom Home    Mom Work/Cell
Dad Home    Dad Work/Cell
Other Emergency Contact Number
Email Address (for important information and updates about camp)

Allergies/Medical Information


Please indicate 3 choices of other campers your child would like to bunk with:
1st Choice  
2nd Choice 
3rd Choice  

Please indicate two choices for Track time: (see Track Choices below)
Track Choice 1
Track Choice 2

Track Choices:
  Fort building
  Creative arts
  Drama
  Sign language
  Creative movement
  Outdoor cooking