Registration Form

Camper Name, first and last (required)

Gender (required)

Birthdate (required)

Age (required)

Parent/Guardian Name (required)

Address, if living outside the Radisson (write N/A if not applicable) (required)

Room number, if living in the Radisson (write N/A if not applicable) (required)

Phone Number (required)

Email (required)

Allergies (Please list) (required)

Do you have access to a device such as laptop, desktop computer, iPad or tablet that your child will be able to be connected to each day? Yes/No (required)

What is your child's first language? (required)

Can the camper read or speak English? Yes/No (required)

Does your child wish to participate in Spiritual activities (e.g Bible Study/Lessons, Prayer time)? Yes/No (required)

Media Release: I hereby give my consent for all writing samples, photographs and video and audio recordings of my child while participating at Camp Unity's programs. They are often used for the promotion of Camp Unity and its education programs.

Parent/Guardian Name (required)

Date (required)

Please provide any other important details (optional)