Camp Friendship - Teen Registration Form

REGISTRANT INFORMATION & EXPECTATIONS

This form is for campers 13 and older who are managing communication regarding camp on their own. If you are a parent looking to sign-up your child, please fill out our Parent/Caregiver Registration Form.
Campers must bring a labeled water bottle and a nut-free lunch each day. Snacks or meals containing any type of nuts are not permitted for the safety of all participants.

Please label all personal items clearly or send disposable items when possible. While we make every effort to keep track of belongings, we cannot guarantee that items will return home especially if they are not labeled with names.
I have read and understood the above statement.*

Yes
CAMPER INFORMATION
Full Name*
First Name Last Name
Phone Number*
E-mail*
Birth Date*

Month Day Year
Gender*

MaleFemale
Please select the days you plan to attend camp. We ask all campers to attend at least two days to help with planning and group activities.*

Monday, August 3rdTuesday, August 4thWednesday, August 5thThursday, August 6thFriday, August 7th
PARENT/CAREGIVER INFORMATION
Parent/Caregiver 1 Full Name*
First Name Last Name
Phone Number*
E-mail*
Parent/Caregiver 2 Full Name
First Name Last Name
Phone Number
E-mail
LIABILITY WAIVER
By submitting this form, I acknowledge that participation in Camp Friendship programming involves voluntary activities which may carry risk. I release and hold harmless Friendship Circle of Dallas and its staff, volunteers, and affiliates from any liability related to injury or property damage incurred during participation, except in cases of gross negligence.
I agree to the terms above.*

Yes
ADDITIONAL INFORMATION
Are you interested in leading any of the following activities?

Arts/Craft ProjectSTEM ExperimentDance/Cheer/Sports InstructionMusic & Movement or Musical PerformanceOther
Would leading the activity be part of a service project?*

Yes, bar/bat mitzvah projectYes, general service projectNo
Have you attended Friendship Circle of Dallas programs before?*

YesNo
How did you hear about us?*

Website or search engineSocial mediaFriend or family referralProfessional referralThe Rise SchoolOther
Please consider making a donation to keep this program free for those who need it!

$100$180$360$540

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

I would like to receive news and updates by email
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The Friendship Circle of Dallas

The Friendship Circle of Dallas is proudly supported by the Jewish Federation of Greater Dallas.

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