Camp Registration Kiosk - Rogers Recreation

Guardian Information

How many guardians should we have on file?

Number of Guardians (1-3)

Child Information

Tell us about the camper

First Name

Last Name

Date of Birth

Grade (Upcoming 2025-2026 School Year)

T-Shirt Size

Medical Information

Does your child have any allergies?

Yes

No

Does your child have any behavior concerns?

Yes

No

Does your child have any medical conditions?

Yes

No

Current Medications

Emergency Contact

Someone other than the guardians listed above

Emergency Contact Name

Relationship

Emergency Contact Phone

Select Camp Weeks

Choose which weeks to attend

Loading available weeks...

Consent & Authorization

Please read and accept the following

Review Your Registration

Please verify all information is correct

Guardian Information

Child Information

Selected Weeks

Next Steps: Our staff will review your registration and contact you within 24 hours to complete payment and finalize your enrollment.

✓

Registration Submitted!

Thank you for registering!

What Happens Next:

You'll receive an email confirmation within 24 hours
We'll contact you to complete payment via ActiveNet
Once payment is processed, your child is enrolled!

Reference Number:

🏕️ Camp Registration Kiosk

🏕️ Camp Registration

Guardian Information

Child Information

Medical Information

Emergency Contact

Select Camp Weeks

Consent & Authorization

Review Your Registration

Guardian Information

Child Information

Selected Weeks

Registration Submitted!

What Happens Next:

🏕️ Camp Registration Kiosk

Staff Login

🏕️ Camp Registration

Guardian Information

Child Information

Medical Information

Emergency Contact

Select Camp Weeks

Consent & Authorization

Review Your Registration

Guardian Information

Child Information

Selected Weeks

Registration Submitted!

What Happens Next: