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ONLINE CAMPER REGISTRATION

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Please note that fields with a RED box or RED underline around them are required to be answered before the registration can be submitted.

​If you have any issues or errors with the form, please reach out to Dave Doleshal via email at dave.twmcamp@gmail.com.

Choose Camp Attending

Participant Information

Parent/Guardian Information

NOTE: an email address is needed so a confirmation email can be sent regarding the registration.

Parent/Guardian Information

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Health Care/Doctor Information

Please check all conditions the participant currently has or has a tendency towards:
Please check all over-the-counter medications that the participant is authorized to receive while at camp. Please note that only medications that have been authorized will be administered while the participant is at camp.

Consent/Certification

I certify that the above information is accurate. In the event of an emergency, I hereby give permission for the participant to receive medical treatment at the nearest hospital or clinic. I expect to be contacted as soon as possible, should this happen. If I choose not to provide TWM with the necessary information, such as serious medical conditions or allergies, I will not hold TWM and/or camp personnel liable for any injury or death that could occur to the participant as a result of the lack of this information.

Upload Insurance Card

Select Picture of Insurance Card
Supported file types: JPG, PNG, GIF, JPEG

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