Holiday Makers Day Camp 2026

Holiday Makers Camp Mon. Dec.21

$100.00

Holiday Makers Camp Tues. Dec.22

$100.00

Total

Name

First NameLast Name
Campers Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How did you hear about our Holiday Makers Camp?
Any food allergies?
Will your camper need medication administered during the hours of camp?
Insurance Carrier and number
Emergency Contact #1

First NameLast Name
Phone Contact #1
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2

First NameLast Name
Phone Contact #2
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Holiday Makers Day Camp