Camp Registration

Camper Name(Required)
Which Week Will You Attend?(Required)
NOTE: Week 5 is completely full.
T-Shirt Size(Required)
Parent's Name(Required)
Other Emergency Contact(Required)
I give my permission for pictures of my child during camp to be used for publicity(Required)
Bed Wetting at Present Time?(Required)
PARENT’S AUTHORIZATION (Please read and sign) “I hereby give permission for the above name camper to participate in all Camp Pioneer’s camping activities (except as noted above) and for Camp Pioneer to authorize any hospital/medical treatment deemed necessary by a qualified physician for my child. Camper’s gender indication must match birth gender.