• October 3, 2026

    October 3, 2026

  • Format: (000) 000-0000.
  • Emergency Contact

  • Format: (000) 000-0000.
  • Do you have additional entries? (up to 1 additional entry)
  • Additional Entry #1

  • Emergency Contact

  • Format: (000) 000-0000.
  • WAIVER

    If you have more than one participant in this registration and they are 18+, an extra signature is needed.
  • In exchange for the participation of the Tough Camper organized by Camp Tomah Shinga, and/or use of property, facilities, and services of Camp Tomah Shinga. I agree to the following:


    1. Agreement to follow directions; I agree to observe and obey all posted rules
    and warnings, and further agree to follow any oral instructions or directions given by Camp Tomah Shinga or the employees, representatives or volunteers.


    2. Assumption of the risks and release; I recognize that there are certain
    inherent risks associated with the above activity and I assume full responsibility for
    personal injury to myself, and further release and discharge Camp Tomah Shinga for injury, loss or damage arising out of my use of or presence upon the facilities of
    Camp Tomah Shinga, whether caused by the fault of myself, or other third party.

  • First Participant

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Second Participant

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Payment

  • *

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      5k
      $35.00$35.00
        
      Total
      $0.00$0.00

      Debit or Credit Card
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