Energy Camp

Camper Name:*
Camper Date of Birth:*
Parent or Guardian*
Mailing Address:*
Camper Grade Level*
Lunch Eligibility at School*
Camper T-Shirt Size*
Any Food Allergies:
Does the camper need transportation? (Only provided in Lafourche & Terrebonne Parishes)*
Registration fee is $50.00 per camper unless the camper is eligible for free or reduce lunch. To receive a waiver of registration fee, the camper must write the reasons why he/she would like to attend the camp. (Waivers are only for campers who are eligible for free or reduce lunch.) Below type your reasons for attending the camp.