Crazy 8 Ranch Summer Camp Registration

Crazy 8 Ranch Kids Camp Registration Form

These forms are required for your children to attend camp. Here at Crazy 8 Ranch we are excited to have 2 extra weeks offered during this summer! Dates offered are June 2nd-6th, 9th-13th, and 23rd-27th, July 7th-11th, 14th-18th, and 28th-August 1st.
Camper's Information
Camper Name*
Nickname/Preferred Name
Age*
Date of Birth

MonthDayYear
Date
NOTE - Children need to be able to use the bathroom and change into their bathing suit on their own before they are eligible to participate in traditional day camp.
T-Shirt Size
First Day at Camp

MonthDayYear
Camper Swimming Ability (children must bring their own bathing suit, towel and sunscreen)*

Non-SwimmerBeginner Swimmer (can swim on front 20ft without flotation)Advanced Swimmer (can pass swim test)
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.

Parents' Information

Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
E-mail*
Cell Phone*
Home Phone
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would you like to be reached while your child is at camp?*

Cell PhoneWork PhoneHome Phone
Parent Info

Parent/Guardian 2
Parent/Guardian 2

First NameLast Name
Relationship to Child
E-mail
Cell Phone
Home Phone
Home Address Same as Parent/Guardian 1?

Yes
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Work/School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would parent/guardian 2 like to be reached while your child is at camp?

Cell PhoneWork PhoneHome Phone
Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Secondary Phone Number
Relationship to Child*
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Secondary Phone Number
Relationship to Child

Payment and Statement of Understanding
Crazy 8 Ranch has permission to secure emergency transportation for my child in the event of an illness or injury which requires emergency treatment. The emergency transportation service will determine the facility to which my child will be transported.*
Type first and last name above to consent
Sign Document*
Date Signed

MonthDayYear
My Products*
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Kids Camp Full Week$350.00
5 weekdays from 8am - 5pm. Lunch NOT included. You are responsible for providing lunch, snacks, and drinks other than water.

Quantity

Kids Camp Full Day$75.00
Full day is 8am - 5pm, Lunch NOT included. You are responsible for providing lunch, snacks, and drinks other than water.

Quantity

Total $0.00
Choose a payment option.*

Cash- Pay in full on First dayCheck- Turn in a Week prior made out to Marcia DeCamp
Should be Empty:

Crazy 8 Ranch Kids Camp Registration Form

Camper's Information

Parents' Information

Parent Info

Emergency Contacts/Authorized Pickup

Medical / Health Information

Payment and Statement of Understanding