Your Information
Loss History
Starting with yourself, please provide information below for each person that will be attending.
Sex
Age Group/Facilitated Group (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
SECOND ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
THIRD ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
FOURTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
FIFTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
SIXTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
SEVENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
EIGHTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
NINTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
TENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
ELEVENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
TWELFTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
THIRTEENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
FOURTEENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
FIFTEENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
SIXTEENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
SEVENTEENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
EIGHTEENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
NINETEENTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
TWENTIETH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
TWENTY FIRST ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
TWENTY SECOND ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
TWENTY THIRD ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
TWENTY FOURTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
TWENTY FIFTH ATTENDEE
Sex
Age Groups/Facilitated Groups (choose one)
T-shirt Size (choose one)
Any life threatening allergies (ex.: peanuts, milk , bee stings)?
Other Information
Please note the camp’s grounds and cabins are wheelchair and walker accessible. Some cabins may be a moderate walk from the activities. Please tell us if you have any special needs that would benefit from a closer cabin or lodgings without stairs. For the safety of everyone attending Camp STARS and on the grounds of Camp Twin Lakes, family pets are NOT allowed unless it is a registered service animal. Documentation MUST be provided.