Family Camp Registration Form
First Name *
Your answer
Last Name *
Your answer
Home Phone *
Your answer
Mobile Number (So we can reach you during your stay with us.) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Names and Ages of everyone staying with you. *
Your answer
Programming fees will be charged at $5.00 a day per person or $10.00 per person for the whole nine days of Family Camp. This fee is to help cover the cost of our programming including but not excluded to pool staff, children's programming, evening speakers, games, activities, and worship leaders.
Do you have your own housing? If yes where will you be staying? ie. The Wager cabin. *
Your answer
If you need to rent housing please click this link http://www.chamberswesleyancamp.org/reservations.html If you need help with this you may contact the camp office at 607-542-0992 between 9:00 AM - 12:00 PM Monday through Friday.
What days will your party be staying? *
Required
Do you expect to have visitors during your stay? *
Visitors must register upon arrival at the camp office. We want to maintain a safe environment for our guests and children therefore it is imperative that we know who is on the grounds and they can be indentified by their wristband.
Do you have your own golf cart or other off-road motorized vehicle? *
If you do have your own golf cart or off-road vehicle you must register it with the camp office and provide proof of insurance.
Did you bring a pet? If yes. You must also sign the pet policy upon arrival and provide a current rabies certificate. The pet policy can be found ahead of time under forms on the camp website. You may also request a hard copy of the policy ahead of time. *
WRISTBANDS MUST BE WORN AT ALL TIMES TO MAINTAIN THE SAFETY AND SECURITY OF OUR GUESTS AND CHILDREN. ANYONE NOT WERAING A WRISTBAND WILL BE QUESTIONED BY OUR STAFF. DUPLICATE WRISTBANDS ARE AVAILABLE AT THE OFFICE IF YOURS BREAKS OR YOU LOOSE IT.
What is your vehicle's make model and color? *
Your answer
You will be given a mirror hanger at registration. Please display this in your vehicle with your name so we may reach you in case of an emergency. Any vehicles without this displayed may be towed if we cant identify the owner.
I grant Chambers Camp & Retreat Center the right to take, print and/or electronically use photographs/videos of me and/or my children in connection with camp activities for such lawful purposes as publicity, illustration, advertising, and or web content.
By checking the box below I understand and agree to all of the above information. This will be considered my electronic signature. *
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