Summer Camp Registration | Wand and Willow Events

Camp Registration

Email(Required)

Choose Camp Session(s)(Required)

August 12-16 ($350)

August 19-23 ($350)

First Name (Parent or Guardian)(Required)

Last Name (Parent or Guardian)(Required)

Parent Cell Phone Number(Required)

Parent Work Number(Required)

First Name (Child)(Required)

Last Name (Child)(Required)

Birthdate (Child)(Required)

Gender(Required)

Address(Required)

Street Address City State ZIP Code

List any allergies for the camper or put "none"(Required)

Current Medical Condition/Past Medical Treatment:(Required)

Description of any past medical treatment or current physical or psychological conditions requiring medication, treatment, or special restrictions or considerations while at camp, including the inability to participate in activities.

Is your child up to date with all immunizations required by their school or local school district?(Required)

Yes

Physician's Name(Required)

Physician's Phone Number(Required)

Emergency Contact Name and Phone Number(Required)

Additional Comments

Phone

This field is for validation purposes and should be left unchanged.