Personal Information

What would you like for us to help your son accomplish during his stay at High Rocks?

Please list any medical or emotional conditions (i.e., enuresis, sleepwalking, ADD or ADHD, anaphylaxis, asthma), which would require special medical attention or added attention from our staff.

Does your son take prescription medication during the school year? Select Yes No

Will he continue them at camp? Select Yes No

Please list and explain:

Please list any food allergies or dietary restrictions. (We are able to make some accommodations for dietary restrictions and allergies. Please contact us for more information about our food and kitchen capabilities.)

Does your son have any learning disabilities? Explain:

Would you like to recommend friends to High Rocks

Please review your application for accuracy. Pay particular attention to capitalization and spelling. This information will go directly into our database. Please read over the terms and conditions. Details about risks, rules, and cancellations are explained in the Acknowledgement of Risk and the Terms and Conditions.

Type the word "Yes" in this box to confirm you have read and agree to the Acknowledgement of Risk, Registration Policies, and the Terms and Conditons page. Click the "Next Steps" button below to view your submission and proceed to our payment page.