Ellenwood Youth Camp

Register for Ellenwood Youth Camp Below

* Indicates required field

Camper Name *

First

Last

Camper Birth Date (xx/xx/xxxx) *

Shirt Size *

Medical Needs, Allergies, Food Restrictions, or Any Other Accomodations/Requests Needed for Camp *

Parent Name *

First

Last

Military Unit/DOD Civ/Other Affiliation *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Secondary Emergency Contact (Different than above) *

First

Last

Relationship to Camper *

Phone Number *

Approved Parent/Guardian Pick-Up/Drop-Off Names *

I understand $35 cash or check is due at check-in on Monday and I will have to sign a medical, photo, and transportation waiver for camp. *

Acknowledged

Submit