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Junior High Camp
June 16 - 20, 2024 (Sunday - Thursday)
For students entering 7th through 9th grades.
Cost
: Early bird price is $200.00 by May 27th. May 28th cost is $215.00.
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* Indicates required question
Email
*
Your email
Camper's First Name
*
Your answer
Camper's Last Name
*
Your answer
Camper's Preferred Name/Nickname
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number with Area Code
(format: 555-777-9999)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age (during camp)
*
Your answer
Grade in Fall 2024
*
7th Grade
8th Grade
9th Grade
Gender
*
Female
Male
Parent/Guardian Name(s)
*
Your answer
Main Contact Phone Number
*
Your answer
Emergency Contact Full Name (other than Parents)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Additional Contact Information, if necessary. Please include additional information that may be helpful for camp staff such as persons NOT allowed to pick up the camper. [Skip if not applicable.]
Your answer
Name of Church Camper attends [Please include City.]
*
Your answer
Person(s)/Church (other than parents) designated to take camper from camp. [IMPORTANT: ONLY the person(s)/church designated will be permitted to take the camper from Camp of the Good Shepherd premises during or following their camp.]
*
Your answer
A FREE 2024 Camp T-shirt will be given to each student camper. Additional T-shirts may be purchased at camp. Please indicate4 T-shirt size of camper.
*
Child XS
Child S
Child M
Child L
Child XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Other:
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