Camp Tamarack

Personal Info

First name:

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Last name:

Church:

I am a baptized or professing member of:

Why do we ask?

Gender:

Birthday:

Email Address:

Phone Number:

I play competitive sports, or am generally athletic

I am NLS certified, and may be willing to be a lifeguard at camp

I am certified in First Aid

Mailing Address

House Number & Street:

City:

Province/State:

Postal Code:

Emergency Contacts

Contact 1 Name:

Relationship to you:

Daytime Phone #:

Nighttime Phone #:

Contact 2 Name:

Relationship to you:

Daytime Phone #:

Nighttime Phone #:

Medical Information

We collect this information in order to ensure your safety while at camp - in case of emergency or for things like food preparation. It is your responsibility to ensure that the information you provide is accurate and up-to-date. This information is collected in a manner that corresponds with our Privacy Policy - which, in part, promises that once camp is over, we will erase your medical information.

I do not wish to provide this information

Health Card #:

Medical conditions / known allergies / prescriptions:

American Campers

Insurance Carrier:

Policy Number:

Verification