Adventure Camp DC


Name of Camper:*
Is this camper a CIT?:*
Date of Birth:*
School Attended:
Home Address:*
Name of Parent/Guardian:*
Phone Number:*
Name of Parent/Guardian (2):
Phone of Parent/Guardian (2):
E-mail of Parent/Guardian (2):
Emergency Contact:*
Emergency Contact Number:*
Authorized Pick-up Person(s):*
Allergy Information:*
Day Camp Only: (8am-3pm)
Day Camp plus Aftercare: (8am-6pm)