2024 Camp Koolaree Camper Registration Form

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To be completed for all campers attending Camp Koolaree. A welcome email with information on your specific camp (what to bring, drop off location and arrival and departure times) will be sent once we receive your registration.

Email *

Camper Name *

Camper Age *

Camper Birthdate *

YYYY

Camper Gender *

Camp Selection *

Jr Girls (ages 10-13): July 8-13

Teen camp (ages 14-17): July 15-20

Jr Boys (ages 10-13): July 22-27

Novice camp (ages 7-9): July 29-August 1

Intergenerational family camp: August 5-10

Junior all-gender camp (ages 10-13): August 12-17

Phone Number *

Mailing Address *

Religious Affiliation (if any)

Name of person who will be picking up camper after camp *

Phone number of person who will be picking up camper after camp *

Emergency Contact Name *

Emergency Contact Phone Number *

Family Doctor *

Family Doctor Phone Number *

Care Card Number *

Is this camper immunized against tetanus? *

Is this camper immunized against Covid-19? *

Camper T-Shirt Size *

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