Camp Carter Registration

Week 2 Super Heroes: June 24^th- 29^th- Ages 12- 17 only

Child's Birth Date * +

Is the child out of the Tarrant County court system? *

Yes

Which Tarrant County Court System is your child in? * 🛈

Registrant's First Name *

Registrant's Last Name *

What is your relationship to the child? *

Child's First Name *

Child's Last Name *

Child's Gender *

Child's age on 6/10/2018 *

Guardian's First Name *

Guardian's Last Name *

Guardian's Email Address *

Guardian's Phone Number

Guardian's Address *

City *

State *

Zip *

CPS Caseworker's First Name *

CPS Caseworker's Last Name *

CPS Caseworker's Email Address *

Does the child have a CASA?

Yes

CASA's name *

If you are registering multiple children for Camp Carter, please submit a form for each of them.