Deering Bay Yacht & Country Club Summer Camp 2024

Camper Information (One Camper Per Form)

Child's Name

Child's Last Name

Address 1

Address 2

City

State

Postal Code

Your E-mail

Information Requested

Member Number

Camper's Date of Birth

Emergency Contact Information

Name

Relation to Child

Cell Phone

Name

Relation to Child

Cell Phone

Doctor's Name

Doctor's Phone Number

Hospital Preference

Hospital Phone Number

Health Insurance

Health Insurance Phone Number

Policy Number

Allergies

Medications

Permitted to Pick Up Your Child

Name

Relation

Name

Relation

Program Information

Which session(s) would you like to attend? One week of attendance for Summer Camp is $400 per member and $475 per guest of member.

Summer Camp
(select all that apply)

Camper's shirt size? (Summer Camp Only)
(All Youth Sizes)

Policies & Waiver

By checking the box below, I agree to the policies listed and understand that I must submit a 2023 Summer Camp Waiver Form before my child participates in camp.
See Policies
Download Waiver

I agree