JUNIOR & INTERMEDIATE DAY REGISTRATION
Date: FRIDAY, June 25, 2021 10 AM - 4 PM
          Registration begins at 9:30 AM

Cost*: Cost is $15 per person for the day and includes a boxed lunch and a snack
          *- Financial Assistance is available!

Location: Camp Caesar (Cowen, WV)

Please note: We are asking that no more than ONE guardian attend this single-day event with each camper in order to accommodate as many campers as possible!

This form is for JUNIORS & INTERMEDIATES. If you are registering a camper in Senior camp, please register at the form found on this link: https://forms.gle/qFoaLSKuRd7o895o9

Contact us at (304) 358-2438 or CampLutherRegistrar@gmail.com
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Camper Name *
Name/relationship of Guardian planning to attend with camper (if camper traveling with another camper, please note that here) *
Preferred Email Address: *
Camper Shirt Size *
Grade camper has most recently COMPLETED: *
A boxed lunch will be provided. Please note, with detail, any dietary restrictions camper or guardian have below:
My home congregation/church is: *
Please tell us your preferred social media (TikTok, Snapchat, Instagram, Twitter, Facebook, none). If this is different for camper and guardian, please note that below! *
To receive TEXT updates, please enter your cell number:
My favorite Camp Luther song is:
My Registration Fee ($15/person) will be paid by: *
Required
I agree to follow the rules of Camp Luther and will follow the COVID-19 mitigation strategies put in place by the leaders of this event. *
Required
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