ULM | ULM Kid's Camp 2021

ULM Kid's Camp 2021

Please complete each section of the form.

*=Required

For which camp are you registering?

* Participant's First Name: * Last Name:

* Age:

* Participant's Mailing Address

* Name of Parent/Guardian

* Parent/Guardian Cell: * Work Phone:

* Parent/Guardian Email:

* Emergency Contact Name:

* Emergency Contact Cell: * Work Phone:

* Participants Home Phone Number

* Who would you like us to call first in the event of an emergency? Please list name and phone number:

* Please list the name(s) of all people with permission to pick up your child from camp.
(Persons not on list will not be allowed to pick up Kid's Camp participants.)

* Please list the name(s) of anyone absolutely NOT ALLOWED to pick up your child from Kid's Camp.

* Please list any allergies your child may have:

* Please specify any special accommodations your child may need while attending camp:

Required fields denoted with *