Camp Forget-Me-Not Registration Form

*All form fields required.
Child's Name *
School *
Age *
Parent/Guardian's Name *
Address *
Phone number *
Name and relationship of person who died *
Brief description of circumstances of death *
Special Needs *
Permision for Guidance Counselor/Teacher to share information with camp staff. *	yes no
Email Address
Child T-Shirt Size *	XL L M S
Parent/Guardian T-Shirt Size *	XXL XL L M S
Verification Code: