Camp registration
July 8th - 15th, 2019
Email address *
First Name *
Your answer
Last Name *
Your answer
Spouse
Your answer
Number of Adults and children 18 and older *
Number of Children 17 years and younger *
Children - ex. Johnny, age 10
Your answer
Young People 14 and older placed in cabin with similar age yp and chaperone?
Phone *
Your answer
Okay to communicate by text? (Please make sure this is a cell phone number that can receive texts) *
Home Assembly
Your answer
Arrival Day - beginning Monday, July 8th *
MM
/
DD
/
YYYY
Arrival Meal *
Departure Day - ending Monday, July 15th *
MM
/
DD
/
YYYY
Departure Meal *
Dietary restrictions - We'd love to accomodate your needs!
Your answer
How many in your family are interested in:
Please mark all the choices you would like to participate in so we can get an idea of how much interest there is for each activity :)
1
2
3
4
5+
Zipline
Giant swing
Wilderness survival
Questions, concerns, additional info, etc
Your answer
A copy of your responses will be emailed to the address you provided.
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