High School Camp Registration
Please fill out the following form for each camper.
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Email *
Camper Information
Camper Name *
Parent / Guardian Name *
Camper's Home Address
Street Address *
City *
State *
Zip Code *
Home Phone *
Emergency Phone & Person to ask for in the event of an emergency *
Camper's Birthday *
MM
/
DD
/
YYYY
Home Church (if currently attending)
Camper's Last Grade Completed *
Camper's Gender *
Camper's Age (at time of camp attendance) *
Can camper swim? *
Camp Shirts
For all children's camps - a camp shirt is included in the registration fee.
Camper's T-shirt Size *
Bunkmate or Cabin Request
Please note: this is a request and may or may not be accommodated.
Any Special Requests
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