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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Email *
Camper's First Name *
Camper's Last Name *
Camper's Preferred Name/Nickname
Address *
City *
State *
Zip Code *
Phone Number with Area Code (format: 555-777-9999) *
Date of Birth *
MM
/
DD
/
YYYY
Age (during camp) *
Grade in Fall 2024
*
Gender *
Parent/Guardian Name(s) *
Main Contact Phone Number *
Emergency Contact Full Name (other than Parents) *
Emergency Contact Phone Number *
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.]
Name of Church Camper attends [Please include City.] *
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.] *
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. *
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