Camp Cup of Cold Water Registration 2024

Child's Name

Grade Completed

T-Shirt Size

Please list any allergies.

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

Contact Phone Number

(###)

###

####

Additional Phone Number

(###)

###

####

Contact Email

Photo Release: We will be taking pictures throughout the week. May we use images of your child on GBC's social media or future publications? *

Yes

No

Please list any additional authorized adults who may pick up this child.