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| Camper Name | Scholarship Recipient? | FLIGHT INFO? | PHYSICAL FORM? | IMMUNIZATION RECORD? | PAYMENT STATUS | Camp | CAMPER INFO | Camper Birthday | School Grade entering Fall School Year | How did you hear about us? | Name of the Friend/Family you heard about us from | Where did you hear about us? | PARENT / GUARDIAN INFO | Who does the camper live with? | Mother's Name | Father's Name | Guardian's Name | Guardian Relationship | Parent or Guardian's Address | Parent or Guardian's Email | Parent or Guardian's Cell Phone | Parent or Guardian's Work Phone | Employer Name | Employer Phone # | Employer Address | ALTERNATE EMERGENCY CONTACT | Name | Relationship | Cell Phone | Work Phone | Address | Pick Up Authorization Information (if different from parent or guardian): | Name | Phone | Address | Name | Phone | Address | MINOR RELEASE FORM | Minor License Agreement and Release | SUNSCREEN AUTHORIZATION | Is Camp Trident allowed to administer sunscreen to your child in accordance with camp standard procedure? | If you have specific instructions for applying sunscreen, please write here. | SPECIAL TRIP/EXCURSION AUTHORIZATION | Is your child allowed to participate in special trips or excursions away from the main camp? | Excursions Disclaimer | MEDICAL INFORMATION / HISTORY | Child's Doctor | Doctor's Phone | Date of Child's Last Tetanus Shot | Does your child have any Communicable Diseases? | Please list all Communicable Diseases: | Does your child have any Chronic Illness/Injuries? | Please list all Chronic Illness/Injuries: | Does your child have any Chronic Drug reactions? | Please list all Chronic Drug Reactions: | Does your child have any Allergies? | Please list all Allergies: | Does your child take any Medication? | Please list all Current Medication: | Does your child have any necessary Health Procedures and/or Diets? | Please list all necessary Health Procedures and/or Diets: | Can our medical staff administer over the counter medicine? | Do you have your child's latest Physical signed by a healthcare provider? | Please upload a form with your child's latest physical signed by a healthcare provider. Must have been performed within the last 24-months. | HTML Block | Do you have your child's latest Immunization Record signed by a healthcare provider? | Immunization Record | INSURANCE | Insurance Company | Policy Number | Subscriber's Name | Subscriber's Place of Employment | AUTHORIZATION FOR EMERGENCY TREATMENT | TRAVEL INFORMATION | How do you plan on traveling to camp? | Explanation for 'Other or Unsure' | Flight Information | SCHOLARSHIP INFORMATION | Have you been approved for a Camp Trident scholarship? | What organization are you signing up with? | PAYMENT INFORMATION | Name of Person Responsible for Payment | Billing Address | Scholarship Code | Payment | $1,250 Full Payment | $250 Deposit | Total | Credit Card | Billing Email (For Receipt) | Signature | HTML Block | Entry ID | Entry ID |
| Camper Name | Scholarship Recipient? | FLIGHT INFO? | PHYSICAL FORM? | IMMUNIZATION RECORD? | PAYMENT STATUS | Camp | CAMPER INFO | Camper Birthday | School Grade entering Fall School Year | How did you hear about us? | Name of the Friend/Family you heard about us from | Where did you hear about us? | PARENT / GUARDIAN INFO | Who does the camper live with? | Mother's Name | Father's Name | Guardian's Name | Guardian Relationship | Parent or Guardian's Address | Parent or Guardian's Email | Parent or Guardian's Cell Phone | Parent or Guardian's Work Phone | Employer Name | Employer Phone # | Employer Address | ALTERNATE EMERGENCY CONTACT | Name | Relationship | Cell Phone | Work Phone | Address | Pick Up Authorization Information (if different from parent or guardian): | Name | Phone | Address | Name | Phone | Address | MINOR RELEASE FORM | Minor License Agreement and Release | SUNSCREEN AUTHORIZATION | Is Camp Trident allowed to administer sunscreen to your child in accordance with camp standard procedure? | If you have specific instructions for applying sunscreen, please write here. | SPECIAL TRIP/EXCURSION AUTHORIZATION | Is your child allowed to participate in special trips or excursions away from the main camp? | Excursions Disclaimer | MEDICAL INFORMATION / HISTORY | Child's Doctor | Doctor's Phone | Date of Child's Last Tetanus Shot | Does your child have any Communicable Diseases? | Please list all Communicable Diseases: | Does your child have any Chronic Illness/Injuries? | Please list all Chronic Illness/Injuries: | Does your child have any Chronic Drug reactions? | Please list all Chronic Drug Reactions: | Does your child have any Allergies? | Please list all Allergies: | Does your child take any Medication? | Please list all Current Medication: | Does your child have any necessary Health Procedures and/or Diets? | Please list all necessary Health Procedures and/or Diets: | Can our medical staff administer over the counter medicine? | Do you have your child's latest Physical signed by a healthcare provider? | Please upload a form with your child's latest physical signed by a healthcare provider. Must have been performed within the last 24-months. | HTML Block | Do you have your child's latest Immunization Record signed by a healthcare provider? | Immunization Record | INSURANCE | Insurance Company | Policy Number | Subscriber's Name | Subscriber's Place of Employment | AUTHORIZATION FOR EMERGENCY TREATMENT | TRAVEL INFORMATION | How do you plan on traveling to camp? | Explanation for 'Other or Unsure' | Flight Information | SCHOLARSHIP INFORMATION | Have you been approved for a Camp Trident scholarship? | What organization are you signing up with? | PAYMENT INFORMATION | Name of Person Responsible for Payment | Billing Address | Scholarship Code | Payment | $1,250 Full Payment | $250 Deposit | Total | Credit Card | Billing Email (For Receipt) | Signature | HTML Block | Entry ID | Entry ID |
