Parent/Guardian 1 Information

FSBC Membership Status

Are you an active FSBC member?

Camper Information

Last Name

First Name

Date of Birth

Grade in 2025-2026 School Year

Please choose the grade that your child will be entering next school year. Camp enrollment is open to rising kindergartens - rising 6th graders. CITs enrollment is for FSBC members only and is open for rising 7th - 9th graders.

With which gender does your child most identify?

Allergies or Medications

If your child has severe allergies or medical conditions, please check reach out to FSBC prior to registration so that we can be certain that we are equipped to handle any potential emergencies.

Pediatrician Name

Pediatrician Phone

Do we have your permission to apply sunscreen?

Current Swim Level

If your camper is on the swim team, would you like them to attend AM practice?

Additional Information/Requests

Let us know if there is anything we can do to help your child love camp! If you would like your child placed in a group with another camper, let us know that here as well.

Contact Information

Parent/Guardian 1 Name

Parent/Guardian 1 Email

Parent/Guardian 1 Phone

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

Emergency Contact Name

Emergency Contact Phone

Person(s) authorized for camp pick-up (in addition to parents/guardians)