Camp Registration

Phone *
Phone
Name of Camper #1 *
Name of Camper #1
Birthdate of Camper #1 *
Birthdate of Camper #1
SUNSCREEN PERMISSION: I give Pascack valley Swim Club staff permission to apply sunscreen as needed. *
Name of Camper #2
Name of Camper #2
Birthdate of Camper #2
Birthdate of Camper #2
Name of Camper #3
Name of Camper #3
Birthdate of Camper #3
Birthdate of Camper #3
Parent/Legal Guardian Name *
Parent/Legal Guardian Name
Best number to contact during camp hours *
Best number to contact during camp hours
Alternate phone number to call during camp hours *
Alternate phone number to call during camp hours
Emergency Contact #1 *
Emergency Contact #1
Emergency Contact Phone Number *
Emergency Contact Phone Number