Welcome!
We're so excited to spend the day with your family at the First Annual Alma Buhnerkempe Memorial Family Camp - a one-day outdoor adventure focused on connection, play, exploration, and belonging. Please complete one registration form per family.
Primary Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Family Attendance Information
Total Number of Family Members Attending
*
Please Select
1
2
3
4
5
6+
Emergency Contact (Someone that will not be attending camp)
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Camper Information
Please register each member of your family that will attend.
*
Back
Next
Photography and Media Release
I give permission for The KASE Project to photograph/video my family during camp activities for promotional and social media purposes.
*
Yes
No
Back
Next
Liability Waiver
I understand that participation in camp activities involves inherent risks associated with outdoor recreation and physical activity. By registering, I acknowledge these risks and agree not to hold The KASE Project, its staff, volunteers, or partners liable for injuries or damages that may occur during participation.
Signature
*
Back
Next
My Products
prev
next
( X )
Family Camp Registration
$35.00
$
35.00
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Continue
Continue
Should be Empty: