Register Now

Registration Form
* required field

CAMP DATES: JUNE 10TH - JUNE 15TH 2018

Online Registration

When registering online, please mail your camp fees to HOII at this address: Hemophilia of Indiana, Inc. 6910 N. Shadeland Ave., Suite 140 Indianapolis, IN 46220


CAMPER(S)

Name(s) and age(s) of child/children attending camp, including siblings, and whether they will be taking the bus to camp from IHTC:

Will camper1 be riding the bus to camp? *
Will camper1 be riding the bus home? *
Will camper2 be riding the bus to camp?
Will camper2 be riding the bus home?
Will camper3 be riding the bus to camp?
Will camper3 be riding the bus home?
Will camper4 be riding the bus to camp?
Will camper4 be riding the bus home?
Will camper5 be riding the bus to camp?
Will camper5 be riding the bus home?

FAMILY MEMBER(S)

Names of family members (including PreCampers) attending the awards ceremony on Friday, June 15th, 2018 at 1:00pm. Also, indicate whether or not round trip bus transportation from IHTC to Camp Crosley is needed.

Will family member1 be riding the bus?
Will family member2 be riding the bus?
Will family member3 be riding the bus?
Will family member4 be riding the bus?
Will family member5 be riding the bus?

PARENT/CAREGIVER



Security Measure