Troops Kid Registration-OLD

Troops Kid Registration

Please complete the information below and hit Continue.

By clicking Continue below and finishing the registration, you agree to the following: My child will abide by the rules designed to protect all camper's rights and safety. This application has my approval and consent for my child to attend camp.

* Indicates required field

Branch of Service *

Parent/Guardian Military Status *

Which Session? *

Child's First & Last Name *

Child's Gender *

Male Female

Child's Age (at time of camp) *

Street Address *

City *

State *

Zip *

Parent or Guardian First & Last Name *

Relationship *

Primary Phone# *

Primary Email Address *

Emergency Contact First & Last Name *

Emergency Contact Relationship *

Emergency Contact Phone # *

Secondary Phone # *

Has your child been away from home for longer than 2 days previously: *

Yes No

Special Needs (Use Medical Conditions box below to explain checked items) *

Special Education Needs (e.g. para, IEP) Special Dietary Needs (e.g. gluten free) Significant Allergy Special Medical Needs

Please describe any medical conditions, treatments or medications *

Is there anything else we need to know about your child *

Submit