REGISTRATION FORM 2021-2022

please print clearly

NAME______________________________________________________________________

ADDRESS____________________________________________________________________

___________________________________________________________________________

PHONE______________________________________________________________________

DATE OF CAMP YOUR ATTENDING________________________________________________

(include Month, Days, and Year)

FOOD ALLERGIES or SENSITIVITIES______________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

EMERGENCY CONTACT__________________________________________________________

_____________________________________________________________________________

EMAIL________________________________________________________________________

ARE YOU STAYING AT THE ST.CROIX INN?____________________________________________

IF SO, WHO ARE YOU ROOMING WITH?______________________________________________

______________________________________________________________________________

ARE YOU PLANNING ON COMING EARLY?_____________________________________________