2024 Summer Camp Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Camper Information

First Name *

Last Name *

Name Camper Prefers *

Mailing Address *

City *

State *

Zip Code *

Gender *

Age (as of Summer Camp) *

Grade (Fall 2024) *

Birthday *

YYYY

Shirt Size *

Camper is a *

first time camper!

returning camper!

Camper is a *

swimmer

non-swimmer

Camper is a member of (Church Name)

If UMC, indicate which District

Valley Ridge (formerly Roanoke & Staunton)

Mountain View (formerly Danville & Lynchburg)

Three Notch'd (formerly Richmond & Charlottesville)

Mission Rivers (formerly York River & Rappahannock River)

Shenandoah River (formerly Harrisonburg & Winchester)

Northern Virginia (formerly Alexandria & Arlington)

Living Waters (formerly Farmville & James River)

Coastal Virginia (formerly Eastern Shore & Elizabeth River)

Other:

Clear selection

Cabin Mate Request (one same gender friend of similar age; this is not a guarantee!)

How did you hear about Alta Mons? *

Camp Option You Are Registering For *

Clear form

Never submit passwords through Google Forms.

This form was created inside of Alta Mons. Report Abuse