Camper Information Collection Form – Ancillary Camper Information Collection Form (Ancillary)Please enable JavaScript in your browser to complete this form.Start - Step 1 of 5Site Number *Site Sponsor *Your site Sponsor is the name of the Camper who holds the MAIN LICENCE for site.What is your relationship to the site Sponsor? *(Great) GrandparentParentSiblingChild(Great) GrandchildOther (Requires special permission)How may Campers are in your household? *A "household" is defined as all people living at the same address. Adults, Minors and Infants are all considered "Campers". Extra charges will apply for more than 2 Adults ($100/Adult), and for more than 2 Minors($50/Minor). Infants, ages 5 and under are free.Primary Canadian Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCĂ´te d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRĂ©unionSaint BarthĂ©lemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTĂĽrkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweĂ…land IslandsCountryNextSave and Resume LaterCamper #1 InformationCamper #1 is the Primary Camper who will receive all communications. Camper #1: Age Group *Select Age GroupAdult (18+)Age Group (Camper #1)Camper #1: Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthdate (Camper #1)Camper #1: Name *FirstLastFull Legal Name (Camper #1)Camper #1: Email *Email (Camper #1)Camper #1: Phone *Phone (Camper #1)Camper #2 Information Camper #2: Age Group *Select Age GroupAdult (18+)Minor (6-17)Infant (0-5)Age Group (Camper #2)Camper #2: Needs GuardianCan not legally sign documentsCamper #2: Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthdate (Camper #2)Camper #2: Name *FirstLastFull Legal Name (Camper #2)Camper #2: Email *Email (Camper #2)Camper #2: Phone *Phone (Camper #2)Camper #2: Legal Guardian *Name of a Legal Guardian who will sign on behalf of Camper #2Camper #3 Information Camper #3: Age Group *Select Age GroupAdult (18+)Minor (6-17)Infant (0-5)Age Group (Camper #3)Camper #3: Needs GuardianCan not legally sign documentsCamper #3: Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthdate (Camper #3)Camper #3: Name *FirstLastFull Legal Name (Camper #3)Camper #3: Email *Email (Camper #3)Camper #3: Phone *Phone (Camper #3)Camper #3: Legal Guardian *Name of a Legal Guardian who will sign on behalf of Camper #3Camper #4 InformationCamper #4: Age Group *Select Age GroupAdult (18+)Minor (6-17)Infant (0-5)Age Group (Camper #4)Camper #4: Needs GuardianCan not legally sign documentsCamper #4: Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthdate (Camper #4)Camper #4: Name *FirstLastFull Legal Name (Camper #4)Camper #4: Email *Email (Camper #4)Camper #4: Phone *Phone (Camper #4)Camper #4: Legal Guardian *Name of a Legal Guardian who will sign on behalf of Camper #4Camper #5 InformationCamper #5: Age Group *Select Age GroupAdult (18+)Minor (6-17)Infant (0-5)Age Group (Camper #5)Camper #5: Needs GuardianCan not legally sign documentsCamper #5: Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthdate (Camper #5)Camper #5: Name *FirstLastFull Legal Name (Camper #5)Camper #5: Email *Email (Camper #5)Camper #5: Phone *Phone (Camper #5)Camper #5: Legal Guardian *Name of a Legal Guardian who will sign on behalf of Camper #5Camper #6 InformationCamper #6: Age Group *Select Age GroupAdult (18+)Minor (6-17)Infant (0-5)Age Group (Camper #6)Camper #6: Needs GuardianCan not legally sign documentsCamper #6: Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthdate (Camper #6)Camper #6: Name *FirstLastFull Legal Name (Camper #6)Camper #6: Email *Email (Camper #6)Camper #6: Phone *Phone (Camper #6)Camper #6: Legal Guardian *Name of a Legal Guardian who will sign on behalf of Camper #6Camper #7 InformationCamper #7: Age Group *Select Age GroupAdult (18+)Minor (6-17)Infant (0-5)Age Group (Camper #7)Camper #7: Needs GuardianCan not legally sign documentsCamper #7: Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthdate (Camper #7)Camper #7: Name *FirstLastFull Legal Name (Camper #7)Camper #7: Email *Email (Camper #7)Camper #7: Phone *Phone (Camper #7)Camper #7: Legal Guardian *Name of a Legal Guardian who will sign on behalf of Camper #7Camper #8 InformationCamper #8: Age Group *Select Age GroupAdult (18+)Minor (6-17)Infant (0-5)Age Group (Camper #8)Camper #8: Needs GuardianCan not legally sign documentsCamper #8: Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthdate (Camper #8)Camper #8: Name *FirstLastFull Legal Name (Camper #8)Camper #8: Email *Email (Camper #8)Camper #8: Phone *Phone (Camper #8)Camper #8: Legal Guardian *Name of a Legal Guardian who will sign on behalf of Camper #8PreviousNextSave and Resume LaterDo you have any pets that will be camping with you? *YesNoThere is a 2 pet policy per campsitePet #1Pet #1: NameName (Pet #1)Pet #1: Age *Age (Pet #1)Pet #1: Size *SmallMediumLargeSize (Pet #1)Pet #1: BreedBreed (Pet #1)Pet #2Pet #2: NameName (Pet #2)Pet #2: Age *Age (Pet #2)Pet #2: Size *SmallMediumLargeSize (Pet #2)Pet #2: BreedBreed (Pet #2)Do you have any other pets not listed here? *YesNoPreviousNextSave and Resume Later Vehicle Use and ParkingIf you would like to register any additional vehicles, please contact the office for further information. Please check with your site Sponsor about the number of vehicles allowed.Vehicle #1 *Vehicle #1 - License PlateVehicle #1 YMM *Vehicle #1 - Year Make & ModelVehicle #2Vehicle #2 - License PlateVehicle #2 YMM *Vehicle #2 - Year Make & ModelPreviousNextSave and Resume LaterUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. Please scroll to the bottom of the page to SUBMIT, or to go back and make any changes.PreviousSubmitSave and Resume Later Heads up! Saving your progress now will store a copy of your entry on our server and Duttona Family Campground may have access to it. For security reasons, some sensitive information will not be saved, and will have to be re-entered when you resume. Continue Go Back Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Email * Send Link