Camp Registration Form
Register now to secure your spot at camp. Please complete all required (*) fields.
Participant's Full Name
*
First Name
Last Name
Preferred Name
Pronouns
Participant's Date of Birth
*
-
Month
-
Day
Year
Must by 18 or older at time of event
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
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Algeria
American Samoa
Andorra
Angola
Anguilla
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Aruba
Australia
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The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
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Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
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Cyprus
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Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
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Guinea
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Hungary
Iceland
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Indonesia
Iran
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Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
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Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
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Turks and Caicos Islands
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Uruguay
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Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
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Western Sahara
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Other
Country
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
T-Shirt Size (unisex)
Do you have any allergies or medical conditions?
Please list any special needs or accommodations required:
Please specify any dietary needs or accommodations required:
Dungeons & Dragons Experience
Please rate your experience in the following areas
*
Rows
None
Beginner
Intermediate
Advanced
Expert
Character Creation
Role Playing
Combat
Storytelling
Which editions of D&D have you played?
Please rank playstyle preference
*
Rows
Most preferred
Enjoy
Least preferred
Heavy roleplay
Combat-focused
Puzzles/mystery
Please check comfort boundaries--I am uncomfortable with the following...
*
Violence and combat: graphic descriptions of injury, torture, body horror, fantasy combat
Horror: supernatural or psychological horror, gore, possession/loss of control
Romance and intimency: flirting, romantic story arcs, sexual references
Social conflict: player vs player, character death
Real world parallels: religious or political themes, substance abuse, mental illness
Sensitive themes: Speciesism, slavery, kidnapping, suicide, self harm, domestic violence
I am comfortable with any/all of these themes
Other
List any other TTRPG you've played:
Camp Experience
Which of the following camp activities are you interested in doing?
*
Archery
Ax Throwing
Arts & Crafts
Kayaking
Nature Walks
High Ropes Course
Rock Wall
Other
Code of Conduct
Camp Short Rest believes in a safe and inclusive environment for all participants.
I agree to...
*
respect the game and engage in collaborative storytelling
respect staff and other participants
respect DM authority
respect camp property, rules and regulations
no harrasment, bullying, or discrimination
no weapons
no illegal substances
no alcohol or THC products on campus
I understand violating any of the above codes of conduct are grounds for immediate dismissal from the program without refund.
*
I Agree
Signature for Code of Conduct
*
Liability Waiver & Risk Acknowledgment
Please acknowledge the following liability waiver & risk acknowledgment clauses
*
I confirm that I have read, understood, and voluntarily agree to all terms above.
*
I Agree
Digital Signature for Liability Waiver & Risk Acknowledgment
*
Cancellation Policy
Please acknowledge the following cancellation and refund policies
*
I confirm that I have read, understood, and voluntarily agree to our cancellation and refund policies.
*
I Agree
Digital Signature for Cancellation Policy
*
Payment
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Deposit
Full payment due August 11,2026
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