• Camp Fusion Camper Information Form

  • Date of Birth *
     - -
  • Gender*
  • Camp Fusion has the permission to administer (please select all that apply)
  • I acknowledge that there is a risk in simply attending and/or participating in activities at Camp Fusion. I understand that Fusion will not be held responsible for any disease, sickness, injury, or loss experienced during, before, or after any event at Camp Fusion. I grant permission for my child(ren) to be transported by bus, van, or automobile to locations on Camp Fusion Rental Facility as part of the program activities, and I hereby give my permission for my child(ren)’s transportation. I grant permission for my child(ren) to receive emergency medical attention should I not be able to be contacted in a timely fashion.*
  • I acknowledge that the program(s) in which I have enrolled my child(ren) involves physical activity and exercise that carries some inherent health risks and risks of injury, and I hereby assume those risks in enrolling my child(ren) in the program. By signing below, I grant permission for my child to participate in activities provided by and located at Camp Fusion. If I do not wish for my child to participate in any activity, it is my responsibility to inform Camp Director prior to my child’s arrival.*
  • Date*
     - -

  • Payment Options*

    prevnext( X )
    Camp Registration Fee. This payment represents the full tuition fee for Camp Fusion. The fee includes all scheduled camp activities, daily meals (breakfast, lunch, dinner, and snacks), a camp t-shirt, and a water bottle. It also covers lodging accommodations and transportation for the duration of the camp.
    Camp Registration Fee

    This payment represents the full tuition fee for Camp Fusion. The fee includes all scheduled camp activities, daily meals (breakfast, lunch, dinner, and snacks), a camp t-shirt, and a water bottle. It also covers lodging accommodations and transportation for the duration of the camp.

    $250.00$250.00
      
    Total
    $0.00$0.00

  • Payment Methods

    Fastlane Checkout

    Choose from one of the PayPal options to make your payment.

    Contact Info

    Payment Info

  • Should be Empty: