Please Check the Camp you wish to attend. ____Boys Camp Grades
Please Check the Camp you wish to attend. ____Boys Camp
Grades 2nd -6th
$170
June 25-28
____Girls Camp
Grades 2nd -6th
$170
July 2-5
____Youth Camp
Grades 6th-12th
$185
July 9-13
____Kids Camp
Grades 2nd-6th
$170
July 16-19
*Save $10 if Registration Form and $25 Deposit are turned in by 5/1/18 $20 Walk In Fee if Registration is not turned in 7 days before Camp begins. (Camp Fee's do not include Snack Shack card.)
Check In & Registration will begin at 10 A.M. for each camp! We request that All Church groups send at least one Chaperone for Boys and One Chaperone for Girls.
Please read and complete entire form in print! Campers Name: First:_________________________Last:_______________________ Male ( ) Female ( ) Date of Birth:______/____/_______Grade Completed: ________ Street Address/P.O. Box:_______________________________ ____________________ City:____________________________State:__________________ Zip:______________ Family Email:_____________________________________________________________ Parents/Guardians Name:_________________________Home Phone:( Emergency Contact: ______________________________ Phone:(
)___________
)_______________
Home Church:_________________________Pastor's Name:_______________________ Does the camper have food allergies?_________________________________________ Camper will be picked up by:________________________________________________
Bunk Mate Request:______________________ This Registration Form must be mailed in prior to Camp to secure a reservation.
For Office Use
The Permission Form must be turned in at the Registration Desk to Check In your Camper.
Grades 2nd -6th
$170
June 25-28
____Girls Camp
Grades 2nd -6th
$170
July 2-5
____Youth Camp
Grades 6th-12th
$185
July 9-13
____Kids Camp
Grades 2nd-6th
$170
July 16-19
*Save $10 if Registration Form and $25 Deposit are turned in by 5/1/18 $20 Walk In Fee if Registration is not turned in 7 days before Camp begins. (Camp Fee's do not include Snack Shack card.)
Check In & Registration will begin at 10 A.M. for each camp! We request that All Church groups send at least one Chaperone for Boys and One Chaperone for Girls.
Please read and complete entire form in print! Campers Name: First:_________________________Last:_______________________ Male ( ) Female ( ) Date of Birth:______/____/_______Grade Completed: ________ Street Address/P.O. Box:_______________________________ ____________________ City:____________________________State:__________________ Zip:______________ Family Email:_____________________________________________________________ Parents/Guardians Name:_________________________Home Phone:( Emergency Contact: ______________________________ Phone:(
)___________
)_______________
Home Church:_________________________Pastor's Name:_______________________ Does the camper have food allergies?_________________________________________ Camper will be picked up by:________________________________________________
Bunk Mate Request:______________________ This Registration Form must be mailed in prior to Camp to secure a reservation.
For Office Use
The Permission Form must be turned in at the Registration Desk to Check In your Camper.
