Camp ARF Application

Please complete and submit the form below. You will be contacted to confirm your acceptance. Online registration is by credit card only.

Contact Information
Camper
First Name*		Last Name*
Name to be called*
Email*
Child's age*		Birthdate*
Address*		City, State Zip*
Home phone*		Cell phone
Parents or Guardian
Mother's name		Employer
Address		City, State Zip
Daytime phone		Cell phone
Father's name		Employer
Address		City, State Zip
Daytime phone		Cell phone
Camp T-Shirt (Included with camp enrollment)
T-Shirt size*

Total number of camps the child wishes to attend:

Notes