Camp Rock of Georgia
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Camp Registration
Event Registration Form (#3)
First Name
Last Name
Email
Phone
How many campers do you need to register?
– Select –
1
2
3
Camper 1 Information
First Name
Last Name
Which camp will this campers be attending?
Wilderness Camp (3rd-6th)
Amplify Camp (6th-12th)
Camper Grade
– Select –
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Camper Gender
– Select –
Male
Female
Shirt Size
Please explain any sleep issues.
Please explain any behavior or discipline issues.
Please explain any medication or allergies.
Is this camper in foster care?
Yes
No
Image Release
Yes
No
Camper 2 Information
First Name
Last Name
Which camp will this campers be attending?
Wilderness Camp (3rd-6th)
Amplify Camp (6th-12th)
Shirt Size
Camper Grade
– Select –
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Camper Gender
– Select –
Male
Female
Please explain any sleep issues.
Please explain any behavior or discipline issues.
Please explain any medication or allergies.
Is this camper in foster care?
Yes
No
Image Release
Yes
No
Camper 3 Information
First Name
Last Name
Which camp will this campers be attending?
Wilderness Camp (3rd-6th)
Amplify Camp (6th-12th)
Camper Grade
– Select –
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Camper Gender
– Select –
Male
Female
Shirt Size
Please explain any sleep issues.
Please explain any behavior or discipline issues.
Please explain any medication or allergies.
Is this camper in foster care?
Yes
No
Image Release
Yes
No
Submit Form
