Otter Creek Christian Camp 2008 - 2008 Camper Application

**OUR CAMP SESSION IS FULL** - Please complete the below application to put your name on a waiting list.

Our Camp Fee is $150 per Camper. Our PreCamper* Fee is $75 . Please note that we do not want the fees of camp to prevent any child from attending. If you need assistance, please complete the scholarship application in addition to the information below.
*Precampers must meet the following requirements:

5 yrs old prior to camp
An older sibling registered for camp
Parent on staff (Non counselor/Non Kitchen)

Camper's First Name

Last Name

Gender

Grade Entering Fall '08

Birthdate

Otter Creek Member

Yes

Age

T-shirt Size

Address

Apt #/PO Box

City

State

Zip

Parent/Guardian

Parent's e-mail address

Home Phone

Parent's Cell Phone

Parent's Work Phone

Emergency Contact

Emergency Phone

Please note that for your privacy the below information will be only available to the Registration Coordinator, Director and the Medical Doctor.

Is the Camper currently Tetanus-immune?

List any medcations being taken presently?

List any existing medical conditions/allergies:

Medical Insurance Company

Policy Number

If visiting, with whom

Camper Application

Camper Information

Additional Information