Camp Registration FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 3Camper Information Camper Status *New CamperReturning CamperFirst Name *Last Name *SuffixSuffixJr.IIIIVPreferred NameGender *GenderFemaleMaleNon-BinaryGenderqueerTrans ManTrans WomanNot ListedPlease enter their gender. Gender Text *Pronouns *PronounsHe/Him/HisShe/Her/HersThey/Them/TheirsHe/TheyShe/TheyThey/HeThey/SheNot ListedPlease enter their pronouns. Pronouns Text *Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Class *Class202520262027202820292030Shirt Size *Shirt SizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeChurch/Youth Group *ChurchFirst Church in WeymouthFirst Congregational Church of BraintreeOld South Union ChurchPilgrim Church of DuxburyUnion Congregational Church of Weymouth and BraintreeUnited Church of Christ NorwellGuestChurch/Youth SponsorCamper Email *Camper Mobile Phone Name Name Dad Current Address *Address Line 1CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextParent/Guardian Information Camper Lives With *Camper Lives WithBoth ParentsJust MotherJust FatherOtherMother Mom First NameMom Last NameMom Home PhoneMom Mobile PhoneMom EmailSend registration information and other camp notifications to this email? Send Mom Email *Yes/NoYesNoFather Dad First NameDad Last NameDad SuffixSuffixJr.Sr.IIIIVChoice 5Dad Home PhoneDad Mobile PhoneDad EmailSend registration information and other camp notifications to this email? Send Dad Email *Yes/NoYesNoGuardian Guardian First NameGuardian Last NameGuardian SuffixSuffixJr.Sr.IIIIVChoice 5Guardian Home PhoneGuardian Mobile PhoneGuardian EmailSend registration information and other camp notifications to this email? Send Guardian Email *Yes/NoYesNoNextParent’s or Guardian’s Statement By registering this camper, I give my permission for photographs, video or live screen captures of this camper to be used by SSCYC, Inc. in publications, websites, videos, blogs, Facebook, online photo sharing, etc. Signature *Registration Email *Submit Registration