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We ask that you attend an orientation via Zoom prior to camp for information about the day.
2023 RTC Camper Registration Form
Camper Bio
Mental Health Information
Parent/Guardian Information
Review
Camper Bio
Required
Please enter letters only.
Child's First Name
*
Required
Please enter letters only.
Child's Last Name
*
Required
Please enter a date with the format MM/DD/YYYY.
Date of Birth
*
Required
Please enter numbers only.
Age at time of camp (October)
*
Required
Gender
Female
Male
*
Required
Mailing Address
*
Required
City
*
Required
Please enter a 5-digit ZIP code or a 9-digit ZIP code with a hyphen after the first 5 digits.
ZIP Code
*
Required
County of Residence
Charlotte
Collier
Glades
Hendry
Lee
Other
*
This field is required.
This value is not unique.
*
Required
School child attends:
*
Required
Race
Asian/Pacific Islander
Black or African American
Hispanic or Latino
Native American or Indian
White
Multi-Racial/Other
*
Required
Shirt Size
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
*
Required
Will other camper(s) related to this child also attend?
Yes
No
*
NOTE: You MUST submit a separate and complete application for every child attending camp.
*
Required
List Names:
*
Required
Does the child have any dietary restrictions?
Yes
No
*
Required
Does your child have any allergies or dietary restrictions? (Please list)
*