Date of Birth
If your child requires bus transportation to and from camp, please provide contact and pick up/drop off information below.
If you have any comments on your child (e.g. particular areas of interest, behavior patterns) that would
help make "Camp Smile" more enjoyable, please indicate them below.
Please give the information at least one emergency contact.
Please give the information at least one parent/guardian.
Support Camp Smile by supporting Lions club