2012 Traditional Camp and Cheerio Adventures Application

Please fill in ALL the blanks. Registrations cannot be processed if any information is missing.
When sessions no longer have openings, you will be contacted about your child's number on the waiting list.

Basic Camper Information

Camper's Name  

First 

Last 

Preferred Name 

Birthday (mm/dd/yyyy) 

Age at Camp 

 Yr.      Mo.

  Next Grade 

Male    Female 

Home Address 

City 

State 

Zip 

Home Phone 

(format like XXX-XXX-XXXX)

Parent's E-mail Address