Event Name: Take 7 - Basketball
1. Camper Information & Parents/Guardians
2. Buddy Requests & Church Information
3. Payment
4. Confirmation
Camper Information
First Name*
Last Name*
Address*
City*
State*
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP*
Camper Email
Birthdate*
mm
01
02
03
04
05
06
07
08
09
10
11
12
/
dd
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
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21
22
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24
25
26
27
28
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30
31
/
yyyy
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Grade* (fall of 2010)
Select
1
2
3
4
5
6
7
8
9
10
11
12
First-time youth camper at Camp Forest Springs?*
Select
Yes
No
Gender*
Select
M
F
Parents/Guardians
First Name*
Last Name*
Relationship*
Please Select
Mother
Father
Grandparent
Guardian
Step-Mother
Step-Father
First Name
Last Name
Relationship
Please Select
Mother
Father
Grandparent
Guardian
Step-Mother
Step-Father
Phone 1*
Type
Please Select
Home
Cell
Work
Phone 2*
Type
Please Select
Home
Cell
Work
Parent/Guardian Email*