Western Illinois Youth Camp
To register your child(ren), please complete the following online form and mail your first week fees 14 days prior to attending to Western Illinois Youth Camp, P.O. Box 48, Jacksonville, IL 62651. If you have any questions, please call our camp office at (217) 673-3771 or email at contactourcamp@gmail.com

Our day camp hosts children ages 6 - 14 in accordance to the American Camping Association Standards.

New for Summer 2018, we are expanding our hours to accommodate earlier arrival and departures.
Drop off begins at 7:30 and pickup concludes at 5:30 each week day. Thank you for your support.

Email address *
Summer 2018 On-line Registration
1st Camper's Last Name: *
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1st Camper's First Name: *
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1st Camper's Age: *
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2nd Camper's Last Name:
If you do not have a second child to register, please skip.
Your answer
2nd Camper's First Name
If you do not have a second child to register, please skip.
Your answer
2nd Camper's Age:
If you do not have a second child to register, please skip.
Your answer
3rd Camper's Last Name:
If you do not have a third child to register, please skip.
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3rd Camper's First Name:
If you do not have a third child to register, please skip.
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3rd Camper's Age:
If you do not have a third child to register, please skip.
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Parent or Guardian's Last Name: *
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Parent or Guardian's First Name: *
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2nd Parent or Guardian's Last Name:
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2nd Parent or Guardian's First Name:
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Camper's Street Number: *
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Camper's City and State: *
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Primary Phone Number: *
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Secondary Phone Number: *
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Primary Email Address: *
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Secondary Email Address:
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Choose the 2018 DAY CAMP week(s) for your child(ren) ages 7-14
$110 per week. Fees are due one week prior to selected camp. (July 2 - 6 fee is $95 with no camp on Wednesday the 4th.)
Select the Overnight week your child(ren) ages 9-14 will attend in 2018
$TBD per Overnight week. Drop off at camp Monday 5:00pm. Pick-up Friday 5:00pm. Meals provided
Counselor in Training for Teens ages 13-14 *CIT's MUST BE ABLE TO ATTEND TRAINING ON May 24th and 25th* THIS IS A NEW EXPECTATION!
Help other children learn life skills at camp.
Please consider a Tax Deductible Donation to Summer Camp Scholarships.
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