Lumsden Beach Camp 2025 Registration Form

27 required fields remaining ()

Alternate Contact First Name *

(if parents cannot be reached)

Alternate Contact Last Name *

(if parents cannot be reached)

Relation to Camper *

Alternate Contact Phone (H) *

Alternate Contact Phone (W)

Alternate Contact Phone (C)

I give permission to LBC to release my son/daughter/ward only to the following names upon departure of the camp:

Please indicate if there is anyone that must not pick up this camper: