Family Camp Waivers

Welcome! Please fill out the following form, making sure to add each camper (even if they are also the policy holder!). This information is required by Washington Family Ranch in case of emergency.
Name

Emergency Contact

Please add an emergency contact for your party. This should be someone who is not attending camp this year.
Emergency Contact Name(Required)

Insurance Policy Holder Details

Name(Required)

Primary Physician Information

Physician Name(Required)
Physician Address(Required)
Name Has the Camper had a physical within the last 24 months? Actions
   
If you have added all your campers, above, please submit this form below!