2022 CHOO SMITH YOUTH EMPOWERMENT SUMMER CAMP Registration Form Please enable JavaScript in your browser to complete this form.Camper's Name: *Age: *Shirt Size: *Phone: *Email: *Home Address:City:State:Zip:Emergency Contact Name:Emergency Contact Number:Health Insurance:YesNoPediatrician Name:Pediatrician Phone:Allergies:YesNoWhat type of allergy:Submit Information