NOTE: Terrapin Adventures does not accept paper waivers, please submit electronically.

Camper Information Form

Camper's Full Name

Camper's Birthday

Camper's Age

Camper Preferred Gender Pronoun

He/She/They/Other

T-Shirt Size

Parent/Guardian #1 Name

Please give both the first and last name.

Parent/Guardian #1 Preferred Phone Number

This is the first number we will call if there is a problem.

Parent/Guardian #1 Secondary Phone Number

A second number we can call if we are unsuccessful using your preferred number.

Parent/Guardian #2 Name

Leave this blank only if there is not another name to list.

Parent/Guardian #2 Preferred Phone Number

This is the first number we will call if there is a problem.

Parent/Guardian #2 Secondary Phone Number

A second number we can call if we are unsuccessful using your preferred number.

Emergency Contact #1 Name

Someone other than a previously listed Parent/Guardian. In an emergency we will always try to contact a parent/guardian first. This is a back up in the event that we are unable to reach you.

#1's Relationship to Camper

Emergency Contact #1 Preferred Phone Number

Please list the best number to reach this person.

Emergency Contact #2 Name

Someone other than a previously listed Parent/Guardian. In an emergency we will always try to contact a parent/guardian first. This is a back up in the event that we are unable to reach you.

#2's Relationship to Camper

Emergency Contact #2's Preferred Phone Number

Please list all adults that are authorized to pick your child up from camp. This includes parents and family members.

Individuals must show a valid ID during sign out. In compliance with the State of Maryland, Terrapin Adventures will not release campers to anyone not authorized on this form.

Street Address where the Camper will reside during Camp

This may be different than their home address.

State

Zip Code

Campers ages 10-15 have the option to bring their own bike for the mountain biking trip. Please check this box if your camper will be bringing their own bike.

We strive to make the camp experience accessible to everyone! Please check all applicable boxes below.

I need a ride to camp.

We will do our best to find another camp registrant in your area willing to help with transportation to camp, however we cannot guarantee a carpool will be available. Please have a secondary transportation plan in mind.

I can offer someone in my area a ride to camp.

Your personal information is kept confidential. Ticking this box means that if we see that someone in your area is looking for help getting to camp, the Camp Director may send you an email with details and if you choose to participate in that carpool, your contact information will be shared with the other party.

Click to Sign

Parent/Guardian Signature

Wed Apr 24, 2024

NOTE: Terrapin Adventures does not accept paper waivers, please submit electronically.

2020 Camper Information Form