Camp Sequia

Parent Name

Parent Phone

Parent Email

Camper Name

Camper Session Session 1 June 4th-10th Session 2 June 11th-17th Session 3 June 18th-24th Session 4 July 25th-July 1st

Camper Gender Girl Boy

Camper Age select 7 8 9 10 11 12 13 14 15 16 17

Camper Informaition for Camp Staff id="camper_info" name="Camper_info" rows="3" cols="30"><textarea> </p> <p> <input type="checkbox" id="cmaper_swim" name="camper_swim" value="yes"> Yes, this camper can already swim. </p> <p> <button type="submit">register</button> <button type="reset">Clear form<button> </p> </fieldset> <p> Fill out the form below to register your camper. A single session <em> (7 days) </em> at Camp Sequoia is <em>$1,500 </em>. That includes lodging, all food and a t-shirt. Payment is due by the first day of camp. All campers must be registered by <strong> May 1st, 2017 </strong>. </p> <p> Please contact the camp office if you have any questions.</p> </article> <aside> <h3> Contact Info </h3> <p> M-F 8-5pm <br>(800)612-8745 <br> office@campsequoia.com </p> <address> 5421 Gross Rd <br> Tryon, NC 28782 </address> </aside> <footer> <h6> copyright 2025 camp Sequia</h6> <script> function handleSubmit(event) { event.preventDefault(); const parentName = document.getElementById('parent_name').value; const parentPhone = document.getElementById('parent_phone').value; const parentEmail = document.getElementById('parent_email').value; const camperName = document.getElementById('camper_name').value; const camperAge = document.getElementById('camper_age').value; const camperGender = document.querySelector('input[name="camper_gender"]:checked')?.value || 'Not specified'; const camperSessions = Array.from(document.getElementById('camper_session').selectedOptions).map(option => option.text).join(', '); const camperInfo = document.getElementById('camper_info').value; const camperSwim = document.getElementById('camper_swim').checked ? 'Yes' : 'No'; let resultWindow = window.open('', '_blank'); resultWindow.document.write('<h2>Camper Registration Summary</h2>'); resultWindow.document.write(`<p><strong>Parent Name:</strong> ${parentName}</p>`); resultWindow.document.write(`<p><strong>Parent Phone:</strong> ${parentPhone}</p>`); resultWindow.document.write(`<p><strong>Parent Email:</strong> ${parentEmail}</p>`); resultWindow.document.write(`<p><strong>Camper Name:</strong> ${camperName}</p>`); resultWindow.document.write(`<p><strong>Camper Age:</strong> ${camperAge}</p>`); resultWindow.document.write(`<p><strong>Camper Gender:</strong> ${camperGender}</p>`); resultWindow.document.write(`<p><strong>Camper Sessions:</strong> ${camperSessions || 'None selected'}</p>`); resultWindow.document.write(`<p><strong>Additional Info:</strong> ${camperInfo || 'None'}</p>`); resultWindow.document.write(`<p><strong>Can Swim:</strong> ${camperSwim}</p>`);} </script> </footer> </body> </html>