Camp One Way

Parent/Guardian Name * First Last
Camper's Name (if different)
Camper's Current or Completed Grade (if applicable)
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * ### - ### - ####
Emergency Phone * ### - ### - ####
Email *
I am registering for the following event: *
I give permission for:
Camp One Way Employees to make Tylenol available for my child for headache Certified medical personnel to render emergency treatment for my child in case of an accident or illness Pictures and video of my child taken at this event to be used in Camp One Way Publicity
Additional Comments:
Allergies, etc:
If registering for Parent / Child Retreat, or golf outing, please list other family members (or friends) attending with you (each person will still need to be registered separately!):
Do Not Fill This Out