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:Name child is called:Child's birth date:Child's age (years):Grade Level:School Attending: at conditions Level: 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
