Number of Attendees*Camper Name* First Last Parent Name* First Last List Additional Attendees Here: Age of Camper*Diagnosis of Camper* Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Dietary Needs and Allergies Anything else we should know? Add it here! I allow photos of my camper to be taken.*YesNoPhotos can be used in marketing materials for Camp Korey. This includes print, social media and use on the Camp Korey website.