Name *

First Name

Last Name

Phone *

(###)

###

####

Emergency Phone *

(###)

###

####

Arrival Date

MM

DD

YYYY

Arrival Time

Hour

Minute

Second

AM PM

Departure Date

MM

DD

YYYY

Departure Time

Hour

Minute

Second

AM PM

I agree to... *

Bring my own utensils, plate, cup, bowl, and camp chair

Help with after dinner camp chores on one of three evenings.

Food Preference *

Vegan

Vegetarian

I'll eat anything

Date Submitted *

MM

DD

YYYY

Name *

First Name

Last Name

Phone *

(###)

###

####

Emergency Phone *

(###)

###

####

Arrival Date *

MM

DD

YYYY

Arrival Time *

Hour

Minute

Second

AM PM

Departure Date *

MM

DD

YYYY

Departure Time *

Hour

Minute

Second

AM PM

I agree to... *

Bring my own utensils, plate, cup, coffee mug, water bottle, etc.

Write my name on the above items.

Food Preference *

Vegan

Vegetarian

I'll eat anything

Please pick one task to help our Kitchen Staff *

Thursday afternoon camp kitchen set-up

Food prep

Dishes

Water jug filling

I'll take a bag of trash on the way out

No thanks

Date Submitted *

MM

DD

YYYY

Name *

First Name

Last Name