Camper Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Child's Full Name: * have was have Name child is called: *Child's birth date: *Child's age (years): *Grade Level: *School Attending: *Caregiver name: *Address: *Email *Phone Number: *Alternate phone:Has the child spent time away from home at camp or similar setting in the past? *Child's ability to swim: *Does child have permission to swim at camp?: *Is child interested in riding a horse at camp?: *Does child have permission to ride a horse at camp?: *Does the child have any conditions that may affect participating in camp activities? *When did the child first report sexual abuse? *Who was involved in assaulting the child? *What are the two most important things we should know about this child? *What type of discipline is effective with this child? *What triggers this child's negative behavior? *What are the signs that this child's behavior is about to escalate? *What actions help de-escalate this child's negative behavior? *Submit
