Sugar Creek Bible Camp 2018 DAY CAMP REGISTRATION AND HEALTH HISTORY FORM Wisconsin State Health Code State law requires that this form, completed and signed, be on file at the day camp in order for the participant to attend. – NAME OF CAMPER _______________________________________________ (Fall’18) _________ Male Female Birthdate __________________ Current Age _________ Program and Week Attending __________________________________ Address__________________________________________ City __________________________ ______ Zip ___________ Home or Cell Phone (________)__________________________ Cell or Work Phone (________)___________________________ Parent/Guardian Name(s) ______________________________________ ___________________________________________ Parent/Guardian address (if different from camper) _______________________________________________________________
Sugar Creek Bible Camp 2018 DAY CAMP REGISTRATION AND HEALTH HISTORY FORM Wisconsin State Health Code – State law requires that this form, completed and signed, be on file at the day camp in order for the participant to attend. NAME OF CAMPER _______________________________________________ (Fall’18) _________ Male Female Birthdate __________________ Current Age _________ Program and Week Attending __________________________________ Address__________________________________________ City __________________________ ______ Zip ___________ Home or Cell Phone (________)__________________________ Cell or Work Phone (________)___________________________ Parent/Guardian Name(s) ______________________________________ ___________________________________________ Parent/Guardian address (if different from camper) _______________________________________________________________
2018-Day-Camp-Health-Form.docx