Camp
Registration
Form

Camper First Name
Camper Last Name
Gender:	MaleFemale
Age	567891011121314151617
Address
City
State	Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Guam Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming
Zip
Present Grade	KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9
School
Please group me with:
Father's Name
Mother's Name
Primary Phone
Secondary Phone
T-Shirt Size	Youth M Youth L Adult S Adult M Adult L Adult XL
How did you find out about Adventure Camp?	SuperGames Event Birthday Party Camp Fair Online Loved it last year Mailer (catalog, brochure, etc.) Other
If other, please describe:
Email Address
Select Camp Session	Wild West July 21-25 (Grades 1-2) $285Camp Coyote July 21-25 (Grades 2-3) $295Camp Coyote July 28 - August 1 (Grades 2-3) $295Explorer Camp July 7 - 11 (Grades 3-4) $300Explorer Camp July 14-18 (Grades 3-4) $300Knights Camp July 21-25 (Grades 4-5) $305Knights Camp July 28 - August 1 (Grades 4-5) $305Pirates and Treasure July 7-11 (Grades 5-6) $310Pirates and Treasure July 14-18 (Grades 5-6) $310Trailblazers July 7-11 (Grades 6-7) $375Trailblazers July 14-18 (Grades 6-7) $375Island Adventures July 21-25 (Grades 7-8) $410Island Adventures July 28 - August 1 (Grades 7-8) $410Ultimate Challenge July 7-11 (Grades 8-9) $435
Would you like to sign up for shuttle service ($70 additional per camper)	Yes  No (Shuttle only runs week of 7/14 and 7/21)
Can you carpool?	Yes No
If carpooling, what is the closest elementary schoo to you?l: