About Badger
About Badger
Our Team
Gallery
News
Programs
Pre–K Camp Programs
Kindergarten and First Grade
Second to Sixth Grade
Thirteen years and up
Activities
Resources
Lunch Menu Summer 2018
Calendar
Parent Handbook
Badger Swim Program
Camper Forms
Employment Forms
Contact
Register
Sign up for Camp
Log In
My Account
0
About Badger
About Badger
Our Team
Gallery
News
Programs
Pre–K Camp Programs
Kindergarten and First Grade
Second to Sixth Grade
Thirteen years and up
Activities
Resources
Lunch Menu Summer 2018
Calendar
Parent Handbook
Badger Swim Program
Camper Forms
Employment Forms
Contact
Register
Sign up for Camp
Log In
My Account
2018 Camper Form
Camper Information
Camper Name
*
First
Last
Choose your program
*
Full day
Half Day
Mini Day
Three Day
Two Day
CIT (Camper in Training)
LIT (Leadership in Training)
Unknown as yet
Choose your weeks
*
8 Weeks
7 Weeks
6 Weeks
5 Weeks
4 Weeks
Unknown as yet
Choose your weeks
*
Week One Jun 25 - Jun 29
Week Two Jul 2 - Jul 6
Week Three Jul 9 - Jul 13
Week Four Jul 16 - Jul 20
Week Five Jul 23 - Jul 27
Week Six Jul 30 - Aug 3
Week Seven Aug 6 - Aug 10
Week Eight Aug 13 - Aug 17
Name of School (Fall 2018)
*
Grade (Fall 2018)
*
Toddler
Nursery
Pre–K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Gender
*
Male
Female
Birth Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Age
*
Camper Address
Camper Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Transportation
Do you require transportation?
*
Yes
No
Please select car seat options
*
None
Car Seat
Booster
Camper Allergies
Does your camper suffer from any allergies?
*
No
Yes
Allergies
You will be asked to provide more details on allergies on the Health Form
Seasonal
Insect Stings
Latex
Milk
Eggs
Peanuts
Tree Nuts
Wheat
Soy
Shellfish
Other
If you selected other, please describe what other allergies your child has?
Special Requests
(Optional) Group Placement: If possible, this request will be honored. This must be done before May 1st. I would like my child in the same group as:
Camper Permissions
I give permission for my child to participate in all camp activities (including swimming). I give permission for my child to carry and use sunscreen at camp and to use it throughout the day. If my child needs help re-applying sunscreen, I give permission for camp staff to provide my child with assistance if he/she requests it. I give permission to release addresses, email and phone numbers to other parents for parties, play dates, etc. I give permission to release my address: I understand all photographs, videos and interviews taken at camp may be used for promotional or advertising purposes. I give consent for my child to be taken to and from camp on field trips by means of transportation used by Badger. In the event that I cannot be reached by phone in an emergency, I hereby give permission to my family physician, any local physician or hospital and to Badger to administer emergency treatment to my child.
Permissions
*
Yes
No
Please describe your permissions requests and we will follow up with you to discuss
*
Parent 1 Information
Parent 1 Name
*
First
Last
Parent 1 Email
*
Parent 1 Cell Phone
*
Parent 1 Secondary Phone
*
(###)###-####
Does parent 1 live at the same address as camper?
*
Yes
No
Parent 1 Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent 2 Information
Parent 2 Name
*
First
Last
Parent 2 Email
*
Parent 2 Cell Phone
*
Parent 2 Secondary Phone
*
Does Parent 2 live at the same address as Parent 1?
*
Yes
No
Parent 2 Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Section 3: Emergency Contact Information
Emergency Contact Name
*
First
Last
Relation to Camper
*
Primary Phone
*
(###)###-####
Terms of Service
*
I accept Badger Day Camp's
Terms of Service
I am a returning Badger Camper
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