CAMP REGISTRATION

Camper's Name:*

First

Last

Camper's Age:*

Select Camp:

Allergies/medical information:

lunch:

Does your child qualify for free and reduced lunch?

Parent/Guardian Name:*

First

Last

Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip Code

E-mail:*

Phone:*

Area Code

Phone Number

MAERA, a 501(c)3, is offering all our camps as donation/sponsor based. Though camp cost/fees are optional, please consider sponsoring/donating. Any amount helps towards camp expenses and is completely tax deductible and confidential. You can select more than one option below:

Donate at Camp Registration: $

Donate via paypal: $ (we will send link)

Donate by Payments (We will contact you.)

Not Able to Donate at This Time

All campers' parents/guardians will also need to fill out and sign a Medical release, which will be emailed to you prior to camp. You can print it out and bring it to registration completed, or fill it out at camp registration. Camps are free but donations always welcome!!!

M.A.E.R.A

CAMP REGISTRATION