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Camp Registration Information

Can't join us for any of the camps below? Sign up to be notified as we add camps to our schedule.

Direct Registration - These camps require registration directly at the camp location. Click Here for registration information or call us at 610.751.6496.



Online Registration - These camps require registration online by filling out the form below.


Applicant Information (required )*
First Name: *		Middle:	Last Name: *
Goes By:		Male Female
Age As Of 6/19/09: *		Grade Comp. By 06/09:	Date Of Birth:
Street: *		City: *	State: *	Zip: *
Home Phone: *		Fax:
Primary Email:*		Secondary Email:

Parent Information
Father's Name:		Home Tel:	Work:
			Cell:
Mother's Name:		Home Tel:	Work:
			Cell:

Emergency Contact (Provide the name of someone not listed above; parents/guardians listed above will be called first.)
Name:		Relationship:
Home Tel:		Work:	Cell:

Consent is hereby given to Financially Free and trainers to seek medical aid in case of emergency.
Special Dietary Needs:

School Currently Attending:

Please indicate any emotional, behavioral or logistical issues that may affect the camp experience or any other information that will help us to help them have a great time at camp:?

Please Send Confirmation Packet (Please check one)	Mail Email

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