CAMPER *

First Name

Last Name

PARENT/GUARDIAN *

First Name

Last Name

Phone *

(###)

###

####

PERFORMer *

YES

NO

VOLUNTEER - PARENT *

YES

NO

Volunteer - student *

YES

NO

Raffle Prize *

Any donation that might be suitable for the gift baskets (i.e. excursions, gift certificates). All business that donate will be listed in the marketing at the event.

Yes

No