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2021 Carbon Valley Mini Camp Camper Information

  1. Camper Information

  2. Gender

  3. Parent/Guardian Information

  4. Only complete if different than camper's address.

  5. Where would you like to be reached while your child is at mini camp?

  6. Only complete if different than camper's address.

  7. Camper Pick Up Information

    Including parents, list all the names of those who are allowed to pick up your child from camp. If this information changes, please notify staff, in writing, as soon as possible.

  8. Swimming Permission

  9. I give permission for my child to participate in supervised swimming activities at the Carbon valley Recreation Center.

  10. Nature Walks and Walking Field Trips Permission

  11. I give permission for my child to participate in supervised nature walks and walking field trips within one mile of the Carbon Valley Recreation Center.

  12. Camper Swimming Ability

  13. Leave This Blank:

  14. This field is not part of the form submission.