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For further information and registration, please contact us at zacharyscamp@gmail.com
Please note that all registrations are subject to approval. NEW
March Break Registration: 

Summer Camp Registration:
 

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The next step
Sorry another form
Please fill out the form below 

Participant Birthday
Year
Month
Day
In case of medical emergency I give permission to Zachary's Camp to secure treatment through Emergency Medical Staff. All efforts will be made to contact caregiver or emergency contact
Medication
Has the participant ever had or currently has seizures?
Toileting & Feminine Hygiene
Independent
Needs assistance
Dressing
Independent
Assistance
Swimming
confident swimmer-deep end
confident in the water-shallow end and able to touch ground
Swim Vest-at the beach we requiere vests for everybody if waves are present
Scared of water
Zachary's Camp would like the oppurtunity to post pictures taken during 20025/2026. No Names or exact locations will be posted
I DENY permission to use participants picture at all
I GRANT permission for UNRESTRICTED USAGE of all participants' pictures
Limited permission
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MED Form

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