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2021 Winter Camp Registration
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Camper Information
First Name
*
Your answer
Last Name
*
Your answer
Name Camper Prefers
*
Your answer
Mailing Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Gender
*
Your answer
Age (as of Winter Camp)
*
Your answer
Grade (Fall 2021)
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Shirt Size
*
Choose
Youth S
Youth M
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Camper is a
*
first time camper!
returning camper!
Camper is a member of (Church Name)
Your answer
If UMC, indicate which District
Roanoke
Danville
Lynchburg
Farmville
Harrisonburg
Elizabeth River
Charlottesville
Clear selection
Cabin Mate Request (one same gender friend of similar age; this is not a guarantee!)
Your answer
How did you hear about Alta Mons?
*
Your answer
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