Online Application

Section 1: Choose your session (Please Select both) This form is optimized for Firefox, Safari and Chrome Browsers

SELECT NUMBER OF WEEKS SELECT LENGTH OF DAY Cost

Select which weeks your camper will attend. (Select all that apply)

All 8 Weeks (June 29- August 21)
Week 1 (Jun 29- Jul 2) Week 2 (Jul 6-10) Week 3 (Jul 13-17) Week 4 (Jul 20-24) Week 5 (Jul 27-31) Week 6 (Aug 3-7) Week 7 (Aug 10-14) Week 8 (Aug 17-21)

Camper Information

FIRST NAME MIDDLE INITIAL LAST NAME SCHOOL GRADE (FALL '15) GENDER

BIRTH DATE

Camper Address

ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP

Camper Allergies

Please list any allergies your child have. If your child has no allergies, please enter "None." I give permission for my child to participate in all camp activities (including swimming): If no, which activities is your child not allowed to participate in?: (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

Parental permission is required to release addresses and phone numbers to other parents for parties, play dates, etc. I give permission to release my address: I give permission to release my email address: I give permission to release my phone number: 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.