Camping in Point Mugu - 3 days 2 nights. $50 per person, $100 per student for 12+ if traveling without parent/guardian.
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Emergency Contact Info*
Students entered below will be added to your family's account
Traveling with parent/guardian? Please note. All students are required to register.*
Please list all adults who will be attending.
Please list any allergies (e.g. to Medications, Food)
Solo traveler 12 Vegan/Vegetarian?
Solo traveler 12 Child’s Health Information: Please list physical/mental health conditions (e.g. Asthma, Diabetes)
Solo traveler 12 Please list any prescription medications.
Solo traveler 12 Please list the following: Insurance Company Name, Policy/Group Number, Policy Holder. Email Photocopy of Insurance Card to
Additional Information:
Other Questions/Comments: