Camp Registration

Thank you for your interest in attending Cub Camp.

By submitting this form, you will be charged $75 for Cub Camp.

We need all Release Forms to secure your spot at Camp. Remember that you will still be charged for Camp even if you do not submit these forms.

First Name*		MI
Last Name*		Sex	Male Female
Preferred Name
Student ID*	ex: @12345678 -- Not your Social Security Number (SSN).
Mailing Address*
City*
State*		Zip*
Phone*		Email
Birthday*		T-Shirt Size*
High School*
Major		Home Town
Needs

Emergency Contact Information
Contact Name*		Contact Relation*
Contact Phone*

* Denotes a required field.

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