2016 Camper Registration Form

Session Preference

Please select a session preference below

Session 1 (June 21 - 26, 2016)

Session 2 (June 28 - July 3, 2016)

No preference (Happy Trails will assign a session)

Camper Information

For New Campers: Registration will not be processed without a case number

Case Number

*Mandatory for new campers

Originating County:

If you selected "other", please enter the County below

Camper Name

First Name

Last Name

Have You Been to Camp Before?

Please select an option from the pulldown menu

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Age

*NEW CAMPERS MUST BE 7-12 YEARS ONLY

Gender

Ethnic Group (Optional)

If you selected "other", please enter the ethnic group below

Will your camper need a sleeping bag?

For NEW or relocated campers only

T-Shirt Size

Please select a size from the drop down menu

GAURDIAN / CARETAKER INFORMATION

First Name

Last Name

Primary Phone

(###)

###

####

Secondary Phone

(###)

###

####

Who does the camper currently live with?

If you selected "other", please enter who the camper lives with

Has the court appointed you as the camper's legal guardian?

Have you legally adopted the camper?

What is the primary language spoken at home?

If you selected "other", please enter the primary language the camper speaks

Campers Name

First Name

Last Name

Are you applying for any other returning or new campers to this camp?

Camper 1 Name

First Name

Last Name

Gender

Age