CAMPER INFORMATION FORM

If you are joining us at Camp Lightbulb this Winter as a camper, please fill out the form below and submit it as soon as possible.  Once we receive your information, you'll be that much closer to joining us this Winter!

Name *
Name
Birthday *
Birthday
Camper Address *
Camper Address
Camper Phone *
Camper Phone
Camper's Parent or Guardian *
Camper's Parent or Guardian
Does the Camper's Parent or Guardian support attendance at Camp? *
Parent or Guardian's' Phone Number *
Parent or Guardian's' Phone Number
Parent or Guardian Address (if different from camper)
Parent or Guardian Address (if different from camper)
Is Camper signing up with a friend? If so, what's their name?
Is Camper signing up with a friend? If so, what's their name?
How are you feeling about attending? (Please circle one)