MAX Days & Camps | MAX McCook - MCCOOK ATHLETIC & EXPOSITION

2022 Camper Registration

* Indicates required field

Guardian's Name *

First

Last

Phone Number *

Secondary Guardian's Name *

First

Last

Secondary Guardian's Email *

Secondary Guardian's Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child's Name *

First

Last

Second Child's Name *

First

Last

Child's Birthday *

Please list any allergies or medical issues we should be aware of: *

Second Child's Birthday *

Please list any allergies or medical issues we should be aware of: *

Attending Weeks: *

Week 1: June 20-24 Week 2: July 18-22 Week 3: August 8-12

Do you need extended care? *

Early Care 8a-4p After Care 4p-6p We do not need extended care.

Comment *

Questions? Additional Children? *

Submit

Erika will call or email to confirm your child's registration.

Please complete and return the registration forms as well as additional forms found within the Handbook.

Completed forms may be emailed to erikat@max-mccook.com

Facility & Rentals

CAMPER REGISTRATION FORM

2022 Camper Registration