Forms • City of Claremore • CivicEngage

Youth Camp/Clinic Registration

Leave This Blank:

Today's Date*

Participant Name*

Date of Birth*

Gender*

Male

Female

Parent or Guardian Name*

Parent Home Phone*

Parent Cell Phone*

Parent Email*

1. Camp or Clinic Name*

1. Camp or Clinic Dates*

2. Camp or Clinic Name

2. Camp or Clinic Dates

3. Camp or Clinic Name

3. Camp or Clinic Dates

4. Camp or Clinic Name

4. Camp or Clinic Dates

5. Camp or Clinic Name

5. Camp or Clinic Dates

* indicates required fields.