Camp Baldwin 2009

Registration Form

First Name: * Last Name: * Date of Birth: * Completed School Grade * 1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeDoes not apply Gender: * MaleFemale T-Shirt Size * Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large E-mail Address: * Phone Number: * Cell Number: Street Address: * Address Line 2: City: * State: * AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -Terr.- AS FM GU MI PR VI Postal Code: * Did you attend camp last year? * Yes No Emergency Contact: * Relationship: * Phone Number: * Cell Number: Comments / Questions: * Required