Camp Fired
Summer - 2011

Bedford - Salem - Concord - Nashua

Online Sign Up
Online Registration Instructions:

Fill out all info.  If you are submitting for two children, you will need to fill out two forms (but
total each at $85 per camp).

Visa or Mastercard Only for online registration.

We will mail your receipt to the address provided.
Choose Studio:
Availability Key:

(B, C, S, N)

B - Bedford
C - Concord
S - Salem
N - Nashua
Choose Camps.

Hold "Ctrl" button
for multiple
selections.
Campers Name:
Campers Age:
Shirt Size:
Parents Name
and Full Mailing
Address:
Email Address:
Phone Number:
List any Allergies
or special
instructions:
Medical Permission Info:
In case of an accident or serious illness, I request that the camp contact me.  If they are unable to
reach me, I authorize them to call the physician indicated below and follow his/her instructions.  If it
is impossible to contact the physician, the camp may make whatever arrangements necessary to
expedite medical attention for my child.
Type "Agree"
Physicians Name:
Physicians Phone:
I understand that my child will be released to his/her legal guardian only unless I inform the staff
otherwise. Type "Yes" in the box below:
Visa/MC Number
Visa/MC Expiration
Name on Visa/MC
Billing Zip Code