Registration Form

Please fill out the following form for each child who is attending Slide Ranch camp. If you have reached this page, and have not yet received your Order Number or have not yet selected a camp week, please visit the Registration page to begin the registration process or contact Slide Ranch.  

This number was sent to the email address you provided when you purchased your camp registrations.
Camper's Name *
Camper's Name
Sex *
Birthdate *
Parent or Guardian Emergency Contact Information
Address (Primary) *
Address (Primary)
Phone (Primary) *
Phone (Primary)
Secondary Contact Information
Name (Secondary) *
Name (Secondary)
Address (Secondary)
Address (Secondary)
Phone (Secondary) *
Phone (Secondary)
Friend Request
Friends Name
Friends Name
We may be able to place your child and a friend in the same, age-based camp group during their week of camp. A friend must be within one year of your child’s age. More than one request cannot be accommodated. We thank you for your cooperation. We cannot guarantee that a request will be granted.
Medical Release Information
Additional Emergency Contact
If parent(s) or guardian(s) are unavailable
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Doctor Information
Doctor's Name *
Doctor's Name
Doctor's Phone *
Doctor's Phone
Insurance Information
Medical Information
Please be as detailed as possible with the information below to ensure your child has the best care while at Summer Camp.
Allergies: *
Please describe all of the allergies selected above.
Are there any medications your child takes regularly (at home or during camp)? If so, please describe in detail:
(Any medication your child will be bringing to camp should be in a Ziploc bag clearly labeled with their name.)
Additional Medical Information
Medical Release Authorization
In the event of an emergency, if we cannot reach you, please indicate your permission to authorize emergency care by writing your name below in lieu of a signature
Today's Date *
Today's Date