2018 ENROLLMENT APPLICATION

I hereby enroll my (son) (daughter),
who's age is and birthdate is in one of the following camp session(s) subject to the conditions of Camp Blue Ridge.


PLEASE FILL OUT ALL INFORMATION & FIELDS
















Phone



Policy #


Camper Profile






You may request that your child be in a cabin with a friend. Please request only 1 since multiple choices may not be granted.

(Friend must request too. It is not always possible to keep requests confidential.)


 BY FILLING OUT THIS APPLICATION YOU ARE AGREEING TO ALL TERMS AND CONDITIONS