Registration

Choose your session(S)*
- Discovery I - June 27 - July 3
- Explorer - July 4 - 10
- Discovery II - July 11 - 17
- Trail Blazer - July 18 - 25
Camper's Name*
Parent's First Name(s)*
Parent's Last Name(s)*
Parent's Email*
Enter Email Confirm Email
Gender*
- Male
- Female
T-Shirt Size
Age at Start of Camp Session*
Date of Birth*
MM
DD
YYYY
Grade Completed by start of Camp Session*
Home Address*
Street Address City State ZIP Code
Phone*
If Parent Not Available in Emergency Please Contact:
Name*
Phone*
Name
Phone
Please answer the following questions. Your answers will help us provide a positive camp experience for your child.
Is this your child's first overnight experience?*
Does your child want to come to camp?*
Does your child make new friends easily?*
Is your child eager or hesitant to try new things?*
Is your child likely to become homesick?*
Are there ever problems with bed-wetting, sleep walking, fear of dark, etc. with your child?*
Are there any emotional/behavioral issues with your child that we should be aware of?*
What do you hope your child will gain from this experience?*
Any additional comments or information about your child that you want to share with us:*
*
- By placing a check in this box, I hereby give my permission for Smoky Mountain Adventure Camp to use any picture in which my child may appear in any of the camp literature as the camp chooses.

If Parent Not Available in Emergency Please Contact: