We are excited that you are considering joining us for one of our summer athletic camps. Please indicate below the camp you wish to attend. We look forward to seeing you this summer! Parent Full Name Email Father-Son Weekend Father-Son Weekend Description June 15-17 Cost is $325 per Father-son pair, and an additional $75 for an additional son. yes, we would like to attend the Father-Son Camp Additional Son Please indicate if any additional children are participating in the camp. - None -1 child2 children3 children Campers' Information Please list all campers' names, ages and t-shirt sizes: What activities would you be interested in during Father-Son Weekend? Please select all that apply Art Baseball Basketball Football Fishing Golf (extra fee) Hiking Lacrosse Riflery Science/Robotics Soccer Swimming Tennis Woodworking Football, Strength & Speed Day Camp Football Day Camp Description July 16-20 Cost is $200 per camper. This camp is only offered as a day camp and is open to girls and boys. yes, we would like to attend the football day camp. Additional Camper Please indicate if any additional children are participating in the camp. - None -1 child2 children3 children Have you signed up for Basketball School? Yes No If you signed up for Basketball School and are registering for Football, Strength & Speed Camp, you will receiver $100 off your total. Campers' Information Please list all campers' names, ages and t-shirt sizes: Please fill out the following information about your child: * First Name Middle Name * Last Name Nickname Please indicate if your child has a nickname he or she would prefer to go by while at camp: Male or Female Male Female Date of Birth * Age on opening day of camp * Height * Weight * T-Shirt Size * What size t-shirt does your camper wear: Youth XL Adult S Adult M Adult L Adult XL Adult XXL Emergency Contact Information Please answer the following questions about Emergency Contact information. Camper's Primary Residence is with: * Both Parents Mother Father Guardian Guardian's Name Mother's Full Name * Spouse's Full Name (if different from Father) Mother's Home Address * City * State * Zip Code * Mother's Home Phone * Please include area code and no dashes or parenthesis. Mother's Work Phone * Please include area code and no dashes or parenthesis. Mother's Cell Phone * Please include area code and no dashes or parenthesis. Mother's Email * Father's Full Name * Spouse's Full Name (if different from Mother) Father's Home Address * City * State * Zip Code * Father's Home Phone * Please include area code and no dashes or parenthesis. Father's Cell Phone * Please include area code and no dashes or parenthesis. Father's Work Phone * Please include area code and no dashes or parenthesis. Father's Email * Emergency Contact Full Name * Please indicate the name, relationship to child, and phone number for an additional emergency contact. Relationship to Camper * Emergency Contact's Phone * Please include area code and no dashes or parenthesis. Parent Questionnaire The information you provide in this questionnaire will be valuable in helping the staff understand your son and his skill level before he arrives. Do you consider your child... * to be outgoing to be shy about average Does your child have siblings? If so, please list their names and if they will be attending camp: * Your child's swimming level is... * beginner intermediate advanced Does your child prefer... * Team Sports Individual Sports We need your help with creating athletically balanced teams for Sports Camp. Because we may play a variety of team sports, it is important to understand how much experience each camper has in each sport. Please check the box that most accurately describes his experience level. Baseball No experience Has played on a team Started on a team Outstanding player Basketball No experience Has played on a team Started on a team Outstanding player Football No experience Has played on a team Started on a team Outstanding player Lacrosse No experience Has played on a team Started on a team Outstanding player Soccer No experience Has played on a team Started on a team Outstanding player Tennis No experience Has played on a team Started on a team Outstanding player Has your child participated in other organized boarding camps? Yes No If yes, how many years? Do you expect your son to experience any homesickness? Does your child have any unique habits (eating or otherwise) of which you wish the Director to be aware of? * Does your child have any dietary restrictions? * Does your child have any physical handicaps that may affect his activities? * Is your child allergic to anything? * i.e. insect bites, bee stings, antibiotics, etc. What medicines does your child take that will be brought to camp? * Please provide details on each medicine and when it is required to take them. Physician's Name * Physician's Phone * In Closing... How did you learn about our camp offerings this year? Previous attendee Fork Union's Website Family/Friend Social Media Other If camper's father is an alumnus of Fork Union Military Academy please tell us what year he graduated: I grant permission for my child to attend the above Fork Union camps * Yes, my child may attend camp at Fork Union. Payment Pay with Credit Card Total: Issuer Credit card number Secure code Month 010203040506070809101112 Year 202220232024202520262027202820292030 Leave this field blank
