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Camp Kind Participation Form

CAMP KIND: PARTICIPANT FORM

*ONE FORM REQUIRED PER CAMPER.
CAMPER’S INFORMATION
Name*
First Last
Birthday*
MM slash DD slash YYYY
Age as of 6/1/26
Grade (as of Fall 2026)*
Pronouns
Shirt Size*
CAMPER’S PARENT/GUARDIAN INFORMATION
Name*
First Last
Email*
Preferred Phone Number*
Alternate Phone Number
CAMPER’S EMERGENCY CONTACT INFORMATION
Name*
First Last
Phone*
Relationship to Camper*
Physician*
Physician Phone Number*
Relevant Medical Information (allergies, special needs, etc.):
Adults approved for pick-up*
Adults NOT permitted for pick-up
How did you learn about Camp Kind?
- Ben's Bells Email
- Social Media
- From a Friend
- Flyer
- Bear Essential
Phone
This field is for validation purposes and should be left unchanged.