What city and state is your church or group located in? *
Please format City, State. Example: Hume, CA
Your answer
Youth Pastor's First Name? *
*Person who will be on campus during the time of camp*
Your answer
Youth Pastor's Last Name? *
*Person who will be on campus during the time of camp*
Your answer
What is the name of your Camp Coordinator? *
Your answer
What is your best contact Telephone Number to reach your Camp Coordinator? *
Your answer
What is the best contact Email Address to reach your Camp Coordinator?
Your answer
How many male campers will be attending with your group? *
Your answer
How many male counselors will be attending with your group? *
Your answer
How many female campers will be attending with your group? *
Your answer
How many female counselors will be attending with your group? *
Your answer
How many camper or counselor spots would you like to cancel from your itinerary? *
Example: 1 camper, 1 counselor or N/A *PLEASE NOTE* We will need to know at least 2 weeks prior to your arrival date in order to charge a $5/spot cancellation fee.
Your answer
If counselors are staying in separate housing what type of lodging will those counselors be staying in? *
Hume Provided Lodging includes: Black Oak lodge or Hickory lodge. Self Provided Lodging includes privately owned cabins.
Are there any additional comments or notes we need to know of for your week of camp?
Please include all special housing requests and why you would like the housing.
Your answer
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