Registration Step 1 of 4 - Camper Information 0% Camper Name* First Last Sex*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Entering Grade*456789101112GradHome ChurchHome Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent Cell Phone*Home Phone Parent / Guardian Name* First Last Parent / Guardian Email* Parent / Guardian Address Different than Camper Parent / Guardian Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact Name*Emergency Contact Phone* Camper Acknowledgement* I, as a camper, understand what I am allowed to bring with me to camp and what I am not allowed to do at camp, as stated on the FAQ page. I may bring my phone but will turn in any electronic devices (including my cell phone) upon arriving at camp when I check in. I understand that it will be returned to me on the last day of camp. I will follow the dress code rules and only bring/wear fingertip length shorts and appropriate tops. I understand that failure to comply with camp policy may result in my parents being notified and/or my being sent home. Parent Acknowledgement* I, as a parent, understand what my child is allowed and not allowed to bring with them to camp, as stated on the FAQ page. I understand that my child's shorts must be fingertip length and that they are not allowed to keep cell phones in their cabins. I have explained these rules to my child. My child has permission to swim at camp.*YesNoHow will your camper return home?*On Church BusWith Parent / GuardianWhich congregation's transportation?*Name of person with whom camper will be riding?*Nurse Info* I understand that each camper is required to complete and provide a medical release form where I will provide a list of meds that my child will be bringing to camp, if applicable. It is REQUIRED that the Medical Release Form be mailed or emailed BY the camp deadline. You MAY NOT bring the form to camp with you. Please download the Medical Release Form. T-Shirt Size*Choose one...Child LargeChild XLAdult SmallAdult MediumAdult LargeAdult XLAdult XXLBase Registration Fee* Price: $245.00 Extra ClassAll campers should select from the following "extra" class options. Assignments will be made on a "first come" basis. Please note that some classes have age limitations and/or fees. If you choose 1 or more classes with a fee, please check the appropriate fee option below. Visit our Classes page for details about each class offering. BELOW: Please select your first, second, and third preferences from the following drop-downs. Be sure to select unique choice from each drop-down. Class Choice 1*Choose one...Archery (all ages)Cooking (all ages) $10.00Fishing (all ages)Fun With Science (ages 9-11)Golf (all ages)Painting (all ages) $10.00Pop Culture / Media (ages 15-18)Sign Language (all ages)Spiritual Cross Training (ages 12-18)Strengths Quest (ages 15-18)Woodworking (ages 15-18) $10.00World Survival (ages 9-14)Class Choice 2*Choose one...Archery (all ages)Cooking (all ages) $10.00Fishing (all ages)Fun With Science (ages 9-11)Golf (all ages)Painting (all ages) $10.00Pop Culture / Media (ages 15-18)Sign Language (all ages)Spiritual Cross Training (ages 12-18)Strengths Quest (ages 15-18)Woodworking (ages 15-18) $10.00World Survival (ages 9-14)Class Choice 3*Choose one...Archery (all ages)Cooking (all ages) $10.00Fishing (all ages)Fun With Science (ages 9-11)Golf (all ages)Painting (all ages) $10.00Pop Culture / Media (ages 15-18)Sign Language (all ages)Spiritual Cross Training (ages 12-18)Strengths Quest (ages 15-18)Woodworking (ages 15-18) $10.00World Survival (ages 9-14) Class Fee $10 Anything else you'd like us to know...Canteen Funds*$0 (you may bring your canteen with you to camp)$5$10$15$20$25$30$35$40$45$50 Camp DVD ($5.00) Total Camp FeesReady to Pay Now?*$100 non-refundable depositTotal Camp Fees (above)Amount To Be Charged To Your Card Today Price: $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name