2023 Camp Kind- website banner 2

Camp Kind Participant Form

*ONE FORM REQUIRED PER CAMPER.
CAMPER’S INFORMATION
Name*
First Last
Birthdate*
MM slash DD slash YYYY
Pronouns
Grade (as of Fall 2023)*
Youth Shirt Size*
- XS
- S
- M
- L
- XL
Physician*
Physician Phone Number*
Relevant Medical Information (allergies, special needs, etc.):
CAMPER’S PARENT/GUARDIAN INFORMATION
Name*
First Last
Preferred Phone Number*
Alternate Phone Number
Email*
Adults approved for pick-up*
Adults NOT permitted for pick-up
CAMPER’S EMERGENCY CONTACT INFORMATION
Name*
First Last
Phone*
Relationship to Camper*
Comments
This field is for validation purposes and should be left unchanged.