Greater North Shore Summer Retreat Registration

Thank you for selecting GNS Summer Camp Retreat. To facilitate smooth processing, please ensure that all sections are completed in full. We appreciate your cooperation! Our Summer Camp is open to children aged 3 to 15 years old. There is a $50 Registration Fee, and the Camp Cost is $65 per week per registered child.

1Child Information > 2Parent/Guardian Contact Information > 3Emergency Contact Information > 4Medical Information/Signature
Are you enrolling more than one child?
Child Name Child Name First Middle Last
Gender

Gender Male Female
Child Birthdate Child Birthdate / MM / DD YYYY
Child Age
Child T-Shirt Size
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Child's Home Phone Child's Home Phone - ### - ### ####
Second Child Name Second Child Name First Middle Last
Second Child Gender

Second Child Gender Male Female
Second Child T-Shirt Size
Second Child Birthdate Second Child Birthdate / MM / DD YYYY
Second Child Age
Third Child Name Third Child Name First Middle Last
Third Child Gender

Third Child Gender Male Female
Third Child T-Shirt Size
Third Child Birthdate Third Child Birthdate / MM / DD YYYY
Third Child Age
Fourth Child Name Fourth Child Name First Middle Last
Fourth Child Gender

Fourth Child Gender Male Female
Fourth Child T-Shirt Size
Fourth Child Birthdate Fourth Child Birthdate / MM / DD YYYY
Fourth Child Age