Camp Tall Timbers Family Weekend Registration Form

Weekend (check one)

Parent’s Name

Parent’s Name

Child’s Name

Child’s Name

Gender

Gender

Birth Date

Age

Grade

Birth Date

Age

Grade

Address

City

State

Zip

Email

Home Phone

Person to contact in case of emergency

Emergency contact numbers       (O)

$99 parent and child, $35 for each additional child or parent

Payment is requested upon registration, 100% refundable with 24 hours notice

 

For additional information please call us at 301-874-0111 or toll-free at 800-862-2678

Parent/Child

June 5th & 6th

Please select: Male Female

Please select: Male Female

(H)

Fee