Cougar Companion Camp 2026

Required

Camper's Namerequired

First Name

Last Name

Camper's Agerequired

School Currently/Previously Attendedrequired

Camper's Shirt Sizerequired

Camper's Medical Diagnosis (Exceptionality, if applicable)required

Please include any protocol or details we should be aware of

Please specify. Cooking/eating is a daily activity.

Important concerns we should know about.required

Parent/Guardian's Namerequired

First Name

Last Name

Parent/Guardian's Emailrequired

Parent/Guardian's Contact #

How did you hear about the camp?required

Do you know of any local businesses/companies that may be interested in coming to present and engage in hands-on activities with campers (e.g. dentists, pet stores, local artists, sports teams, chefs etc.)

If yes, please provide their name and contact information.

Name and Contact Information

Fee

$150.00

Payment Information

Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year