2020 Camper Info 2020 Summer Camper Information 2020 Summer Camper Information Student First/Last Name * Parent/Guardian First/Last Name * Address * City, State, Zip EMail * EMail If Different During Camp Time Phone * In case of emergency please contact: Name 1 * Phone 1 * In case of emergency please contact: Name 2 Phone2 In case of emergency please contact: Name 3 Phone 3 Emergency Options And Photos * In Case of Emergency, I give consent to seek medical treatment I give consent for my child’s picture to be taken and for the Becker County Museum to use for advertising and publications My child will be : attending another camp at the Historic Holmes Theatre or DLCCC and will need to be escorted. picked up by: Name Of Pickup Person If you are human, leave this field blank. Submit
