Registration Form

Parent/Guardian Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Email
Home Phone
Father's Daytime Phone
Father's Cell Phone
Mother's Daytime Phone
Mother's Cell Phone
Emergency Contact
If not available in an emergency, notify:
FirstLast
Emergency Home Phone
Emergency Work Phone
Relationship
Out of Town Phone
Parents, if you plan to be out of town during your child's stay at camp, we must have a phone number where we can reach you.
Church
Church Phone

Watermarks Camp Consent and Liability Release
Watermarks Camp, which will be hosting Spirit Wind, requires the parent/guardian to complete and sign their consent and liability release form.

Please download, print, sign, and return the form either via snail mail or send it with your camper. Watermarks will not permit your camper to stay without a completed and signed consent form.

Option 1:	Download, fill out, and mail in the 2012 Camp Brochure and Registration Form along with a signed Watermarks Camp Consent Form
Option 2:	Register and pay online using the form below.
Option 3:	Register online and pay in 3 installments.

Medical History