Chisholm, MN

June 05 – June 09, 2017 in Chisholm, Minnesota

Camp Registration

Camper's Name
Date of Birth
Address
Phone Number
Parent's Name(s)
Parent's Cell #
Emergency Contact's Name
Emergency Contact's Phone
Camper's Grade in 2011-2012
Gender
High School
Commuter or Residential Camper
Roomate Request
(Cost: $9)
Enter your full name to signify your signature to this registration form.