Participant Name: (Required)
Last Name:
First Name:
Mailing Address: (Required)
Street:
City:
State:
Zip Code:
Date of Birth: (Required)
Home Phone: (Required)
() -
Cell Phone: (Required)
() -
Email Address: (Required)
Gender: (Required)
Male  
Female  
School: (Required)
Parent/Guardian Name: (Required)
Last Name:
First Name:
Parent/Guardian Home Phone: (Required)
() -
Parent/Guardian Cell Phone: (Required)
() -
Parent/Guardian Email Address: (Required)
Camp: (Required)
Emergency Contract Information: (Required)
Name:
Phone:
() -
Relationship:
Special Needs and Accommodation (Medical/Allergies/Dietary Issues):
Cancellation Policy:
In the event that the University would need to cancel your designated camp a full refund will be returned back to participant and/or family in the form of a University check. In the event that you the participant and/or family will need to cancel your registration from attend your designated camp, you will receive a full refund up until 4 weeks from the camp. If you cancel within 4 weeks of the camp you will receive a partial refund.

**Partial Refund is a $50 loss from your camp registrations cost.