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.