Camp Phoenix Registration Form

YWCA Hanover's Camp Phoenix 2023 Registration Form

Your registration is not complete and a spot not guaranteed until this registration form is turned in. CCIS and YWCA scholarships are accepted. Meals and snacks are included.

Parent/Legal Guardian 1 Info

Parent/Legal Guardian 1 Name(Required)

Parent/Legal Guardian 1 Phone(Required)

Parent/Legal Guardian 1 Email(Required)

Parent/Legal Guardian 1 Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent/Legal Guardian 2 Info

Parent/Legal Guardian 2 Name

Parent/Legal Guardian 2 Phone

Parent/Legal Guardian 2 Email

Parent/Legal Guardian 2 Address

Street Address Address Line 2 City State ZIP Code

Camper #1

Camper #1's Name(Required)

Camper #1's Birth Date(Required)

Camper #1's Grade in 2022(Required)

Camper #1's T-Shirt Size(Required)

Camper #1 is PT or FT(Required)

Full Time (4-5 Days)

Part Time (Up to 3 Days)

Camper #2

Camper #2's Name

Camper #2's Birth Date

Camper #2's Grade in 2022

Camper #2's T-Shirt Size

Camper #2 is PT or FT

Full Time (4-5 Days)

Part Time (Up to 3 Days)

Camper #3

Camper #3's Name

Camper #3's Birth Date

Camper #3's Grade in 2022

Camper #3's T-Shirt Size

Camper #3 is PT or FT

Full Time (4-5 Days)

Part Time (Up to 3 Days)

Pertinent Information

Please list any weeks your camper(s) will not attend:

Allergies, Special Needs, or Dietary Requirements

Please list any allergies, special needs, or dietary requirements to help us ensure your children have the best experience possible. More details will be asked for in our enrollment paperwork which you will receive later.

By checking the boxes below, I agree that ….(please read, understand, and check each item)(Required)

I have read and understand all portions of this registration form.

I understand weekly fees are to be paid in full the Friday prior to the week of service.

I understand that I will receive an enrollment packet that must be completed prior to 1st day.

By entering my name below, I agree that I have read and understand all portions of the Camp Phoenix registration form.(Required)

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