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White Eagle Youth Camp – Registration
Parent or Guardian Information
First Name
*
Last Name
*
Emergency Contact Number
*
Email Address
*
Camp Attendee Information
First Name
*
Last Name
*
Birthdate
*
Age
Request Approval
Because this camper will be over the age of 20 at camp, please provide a reason we should allow an exception.
Request Approval
Because this camper will be under the age of 13 at camp, please provide a reason we should allow an exception.
I need help finding a place to stay
Yes
Check the box above if you need help finding a place to stay during camp.
Complete Registration and Submit
Camp Participation Agreement
I hereby authorize the staff of the White Eagle Youth Camp to act for me according to their best judgement in any emergency requiring medical attention and I hereby waive and release WMO from any liability for any injuries or illnesses incurred while attending camp. I have no knowledge of any physical impairment that would be effected by the above camper’s participation in activities at White Eagle Youth Camp and I authorize participation in all camp activities, including water sports. I will be responsible for any medical charges in connections with his or her attendance at camp. I also understand that White Eagle Youth Camp retains any right to use photographs of campers taken while at camp. I have read and agree to the White Eagle Youth Camp Rules and Guildelines and the Camp Participation Agreement in its entirety and I give permission for those listed above to attend camp and participate in activities.
Do you accept the above agreement?
*
I accept the agreement
I do NOT accept the agreement
If you are human, leave this field blank.