Parent(s)/Guardian(s) Full Name

Contact Email Address

Confirm dates of chosen camp below Confirm dates of chosen camp belowWeek 1 - July 4th - 7thWeek 2 - July 10th - 14thWeek 3 - July 17th - 21stWeek 4 - July 24th - 28thWeek 5 - July 31st - Aug 4thWeek 6 - August 8th - 11thWeek 7 - August 14th - 18thWeek 8 - August 21st - 25thWeek 9 - August 28th - Sept 1st

Please list participants full names and ages at time of camp

List two emergency contact names and phone numbers below in order of priority

By checking the box below, you accept full responsibility for the information provided and confirm that it is in fact accurate. Should we discover that your child is not within the allowable ages of 7-12 for this camp, and it was not approved by our office, you will be contacted to pick them up immediately. By checking the box below, you accept full responsibility for the information provided and confirm that it is in fact accurate. Should we discover that your child is not within the allowable ages of 7-12 for this camp, and it was not approved by our office, you will be contacted to pick them up immediately. Yes, I confirm the ages of my child(ren) listed above are accurate and between the ages of 7-12. My child is either younger than 7, or older than 12, and I have received written permission from the Ridge administrative team to register them for camp. My child is not between the ages of 7-12, I have not received permission to register otherwise, please contact me for a refund.

Do your camper(s) have any allergies we should be aware of before the start of camp?