Camp at the Crossroads Registration Form

Camp at the Crossroads takes place from July 24-28 at Travelers' Rest State Park in Lolo. Registration fee of $300 includes all activities, supplies, and snacks. Students should bring a lunch, water bottle, and dress for the weather.

This is a full-day camp from 8:30 am to 4:30 pm. Camp at the Crossroads is designed for students entering 1st - 5th grades.

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* 1. Parent Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Camper #1 Information

Name

Age

Grade in Fall 2023

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* 3. Camper #2 Information

Name

Age

Grade in Fall 2023

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* 4. Camper #3 Information

Name

Age

Grade in Fall 2023

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* 5. Do any campers have allergies or medical conditions that we should know about?

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* 6. Emergency Contact

Name

Relationship to Camper

Email Address

Phone Number

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* 7. For internal and external use, I acknowledge that Camp at the Crossroads and/or its sponsors may utilize film, print, and digital images of a student which may be taken during involvement in camp activities. I consent to such uses & hereby waive all rights to compensation.

Yes

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* 8. I herby give my child permission to travel in a vehicle with Camp at the Crossroads staff and participants during camp activities.

Yes

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* 9. Total number of campers x $300

Minimum amount: $300 USD

You will pay at the end of this survey.