A NIGHT OUT 4 U

Check back for updates... 5:30 - 9:00 PM

SIGN UP Options:

1) Print out camp flyer by downloading & clicking on button above 

2) Text Camp Coordinator Neil Wallner (630-939-5466) to Sign Up, register/pay at door

3) Copy, Paste & Print below registration.

4) Feel free to hand deliver registration/payment to Mr. Wallner in PE class

5) Send Registration/payment to address: Neil Wallner, P.O. Box #364, Elburn, IL 60119

10 Minutes from Shopping Randall Road/Geneva Commons 

Child's Name_______________________________________________ Grade Level___________ 

Send payment & registration to​: Neil Wallner, P.O. Box 364, Elburn, IL 60119 

Check preferred payable to Neil Wallner 

Emergency Information (If parent cannot be reached)______________________________________

Medical Concerns:___________________________________________________________________ 

Parent Signature_____________________________Best Phone # to reach parent​___________________ (Authorizes child to attend camp and waives liability of injury and/or medical complications)