As-Salaamu Alaykum,
Thank you for your interest in the seventh annual IECOC Junior Camp. Please fill out the following form so that your registration can be processed successfully.

2017 Junior Camp Registration






Parent/Guardian Information








Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Camper Information






Emergency Contact Information

In the event of an emergency please list two individuals that can be contacted.