Junior Camp Registration
Please fill out the following form for each camper.
Email address *
Camper Information
Camper Name *
Your answer
Parent / Guardian *
Your answer
Home Address *
Your answer
Home Phone *
Your answer
Emergency Phone & Person to ask for in the event of an emergency *
Your answer
Camper's Birthday *
MM
/
DD
/
YYYY
Home Church (if currently attending) *
Your answer
Camper's Last Grade Completed *
Camper's Gender *
Camper's Age (at time of camp attendance) *
Your answer
Camp Shirts
For all children's camps - a camper shirt is included in the registration fee.

Those attending Men's or Women's Camp may order a shirt at the time of their registration. Shirts are $12.00 each or $15.00 for sizes XXL and XXXL. Please bring payment for shirt when you come to camp.

Those attending Family Camp may purchase any left over shirts at camp for the prices listed above.

Camper's T-shirt Size *
Cabin Request
Your answer
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