Camper Info

(Teen Camp Reg)

Number of Campers*

Camper 1 Full Name

Camper 1 Date of Birth*

Month

Day

Year

Camper 1 Current Age*

Grade camper 1 entering in the Fall*

Camper 1 T-Shirt Size*

Allergies, Medical Issues, or Current Medications (Please specify for each child if applicable)*

Are any allergies life-threatening? If yes, please explain (Please specify for each child if applicable)*

A place of faith, community, and cherished traditions since 1863

195 Hedding Road Epping NH 03042

Email*

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