Summer Camp 2018 Camper / Cadet Counselor Registration & Medical Forms

Camper / Cadet Counselor Registration Form

(one camper per form)

** Save $20 on tuition with registration submission by May 1st 2018

Campers / Cadets: please also complete the medical release form below in its entirety. Some questions are repeated from the registration form so our nurses have a complete record. Thank you for your patience.

Medical Release Form:

When the form is fully completed, click the SUBMIT button below. If you do not see a submittal confirmation and the form returns to the beginning there is a field entry error. Review the form for red notated errors, correct, and SUBMIT again. Thank you for your application.

Success! This form has been submitted. Please contact our office to confirm your application and arrange payment of the $30 deposit. Payment may be made by Discover, Master Card, or Visa over the phone or by sending a check. We look forward to speaking with you soon. Lakewood Retreat 25458 Dan Brown Hill Rd Brooksville, FL 34602 Ph: 352-796-4097