Raising Arrows Summer Camp Registration

Dear Parent/Guardian,

Thank you for your interest in the 2024 Raising Arrows Summer Camp. Please fill out this application form completely.

Once submitted you will receive a message from Bright Wheel (messaging/billing app), with an invoice for the $30.00 registration fee. Your spot is not secure until your registration fee is paid. Registration fee includes your child's camp T-shirt. Camp tuition is $75.00 a week. This does NOT include field trip fees. A calendar of all of our camp activities will be provided by the end of May 2024.

Child's First Name *

Child's Last Name *

Child's Shirt Size *

Child's Date of Birth * +

Child's Gender: *

Female

Male

Child's Grade Level (next school year) *

Please select one of the following if they are applicable

Child is in DHR supervision

Child lives in JHA

Child is Connected with M4A

Child is Served by Adam Bishop Center

Parent/Guardian #1 First Name *

Parent/Guardian #1 Last Name *

Parent/Guardian #1 Phone Number *

Parent/Guardian #1 Email Address *

Parent/Guardian #1 Street Address *

Parent/Guardian #1 City *

Parent/Guardian #1 Zip Code *

Parent/Guardian #1 Employer *

Parent/Guardian #1 Employer's Phone Number *

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Phone Number

Parent/Guardian #2 Email Address

Parent/Guardian #2 Street Address

Parent/Guardian #2 City

Parent/Guardian #2 Zip Code

Parent/Guardian #2 Employer

Parent/Guardian #2 Employer's Phone Number