Attendee 3 First Name

Attendee 4 First Name

Attendee 5 First Name

Attendee 2 First Name

Attendee 1 First Name

Attendee 6 First Name

Winter Virtual Cabin Chat (December 6th, 2025)

Email Address

Phone Number

Name

Camper Family Registration

How many attendees are you registering for, including camper(s), caregiver(s), or other attendees?

How many attendees are you registering for, including camper(s), parent(s), guardian(s), caregiver(s), or other attendees?

Attendee 1 Last Name

Attendee 1 DOB

Attendee 2 Last Name

Attendee 2 DOB

Attendee 3 Last Name

Attendee 3 DOB

Attendee 4 Last Name

Attendee 4 DOB

Attendee 5 Last Name

Attendee 5 DOB

Myself, and all members of my group, confirm that we have reviewed, understand, and agree to the Participation Agreement, we agree to uphold Camp Kesem’s Values, and we agree to comply with all Camp Kesem Policies.

https://storage.tally.so/01a15fc2-e379-4abb-9487-04af4f6b7453/UCD-Camp-2015-Wk2-00785.jpg