2025 Summer Camp Registration Form - Charleston Lake Association

2025 Summer Camp Registration

Camper Name(Required)

First Last

Camper Date of Birth(Required)

Camper T-Shirt Size(Required)

Select Camp(s)(Required)

Camper Health Card Number(Required)

List of Camper Medical Conditions / Allergies

List of People that can pick up camper(Required)

Parent / Guardian Name(Required)

First Last

Parent / Guardian Phone(Required)

Parent / Guardian Email(Required)

Parent / Guardian Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Name (will be contacted if camp is cancelled)(Required)

Emergency Contact Phone (Will receive text if camp is cancelled)(Required)