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Camp Connect 2021 Registration
Family Information
*
*

First Name
Last Name
*

*

*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
*
*
(PLEASE INCLUDE YOURSELF/PRIMARY CONTACT IN TOTAL NUMBER)
Please select all that apply.


Family Insurance
*







*

Please enter full name (first and last)
*

*

*
Camper #1 Details
(PLEASE INCLUDE YOURSELF AS A CAMPER)
*

First Name
Last Name
*

(mm/dd/yyyy)
*
*
(multiple answers can be selected)

*


Camper #2 Details
*

First Name
Last Name
*

(mm/dd/yyyy)
*
*
(multiple answers can be selected)

*


Camper #3 Details
*

First Name
Last Name
*

(mm/dd/yyyy)
*
*
(multiple answers can be selected)

*


Camper #4 Details
*

First Name
Last Name
*

(mm/dd/yyyy)
*
*
(multiple answers can be selected)

*


Camper #5 Details
*

First Name
Last Name
*

(mm/dd/yyyy)
*
*
(multiple answers can be selected)

*


Camper #6 Details
*

First Name
Last Name
*

(mm/dd/yyyy)
*
*
(multiple answers can be selected)

*


Camper #7 Details
*

First Name
Last Name
*

(mm/dd/yyyy)
*
*
(multiple answers can be selected)

*


Optional Donation
*
$
We're excited you're coming to camp!

After submitting your/your family's registration, you will receive a confirmation email.  This email will have a link to view the required Georgia PKU Connect/Camp Twin Lakes Release Form. We will have a copy for you to sign at check-in on September 10th.

If you have questions at any time, feel free to email us at camp@georgiapku.org

Please review the information entered above and then click submit to complete your camp registration payment.