Camp Blue Diamond Summer Camp Registration 2019
We look forward to seeing you at Camp Blue Diamond this summer! After you complete and submit your registration, the camp office will email (or mail if you prefer) your confirmation packet. If you do not receive your confirmation materials within three business days (one week for mailed packets), please call or email the camp office.

Online Registration requires your child's medical and insurance information. Please have that information ready. Registering online, also requires payment of the final balance with a credit or debit card.

If you would like to request scholarship aid, or make extended payments, you'll need a CBD Summer Camp Registration Form. To receive that form contact Camp Blue Diamond, or print one from the website: www.campbluediamond.org.

If you are registering more than one child, complete an online registration for each child.
If you are registering for Family Camp or a Kiddie Camp, do one registration for all campers.
If the camp you want is not listed as a choice, it is closed because of full enrollment.

Camps closed for 2019: Wild OLS - Closed for Girls, Still Open for Boys

If you have any questions, please contact camp at:
Camp Blue Diamond Inc.
P.O. Box 240, 4013 Blue Diamond Dr., Petersburg, PA 16669
Ph.: (814) 667-2355 / Email: campbluediamond@verizon.net / Website: campbluediamond.org

Camper's Last Name *
Your answer
Camper's First Name *
Your answer
Camper's Middle Initial
Grade *
Current grade level - the one he/she is completing in the Spring of 2019
Street Address or P.O. *
Your answer
City *
Your answer
State *
Use postal abbreviation (examples: for Pennsylvania use PA, for New York use NY)
Your answer
Zip *
Your answer
Gender *
Birth Month *
Birth Day *
Birth Year *
Age at time of camp *
Is this 1st time attending CBD as a summer camper? *
Congregation
Name of Parent(s)/Guardian(s) with Legal Custody *
Your answer
Relationship to Camper *
Your answer
Email *
Frequently checked Parent's email address
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Other Phone Number
Your answer
Please Email my Confirmation Packet *
If you choose 'No' your Confirmation Packet will be mailed to your home address
Name of Person Completing This Online Registration *
Your answer
Emergency Contact Name *
Please give the name of an adult who can serve as an emergency contact, in the event camp needs to contact the parent/guardian, and she/he is unavailable. Emergency Contact may be another parent if parents not living together.
Your answer
Relationship to Camper
Your answer
Emergency Contact's Phone Number *
Your answer
Emergency Contact's Secondary Phone Number
Your answer
Are there circumstances regarding custodial relationships camp needs to be aware of before releasing a child to a parent?
If 'Yes' to previous question, please explain:
Your answer
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