2019 Summer Camp Registration
Please complete the form below to be registered for Generate Camp 2019.

Deposits can be turned in to offering boxes at GBC in an envelope marked "Student Camp Deposit" along with the student's name.

$25 deposit through Dec 30
$50 deposit through Jan 30
$100 deposit through Apr 30

Email address *
Camp Theme
Camp Attendees Name *
Last Name, First Name
Your answer
Camp Attendees Grade (2017-2018 school year) *
Gender *
Attendees Adult T-Shirt Size *
Your Contact Information
Parent's Name *
Last Name, First Name
Your answer
Parent's Email *
Your answer
Parent Primary Contact Phone Number *
Your answer
Student Contact Phone Number *
Your answer
Street Address *
Your answer
City, State, Zip Code *
Your answer
Please list any medical conditions the registrant has, and any other medical details including any prescriptions that we need to be aware of: * *
Write Not Applicable if this doesn't apply
Your answer
Does your child have any medically necessary dietary restrictions:
Please List if Applicable
Your answer
By typing my full name below, I hereby acknowledge I am 18 or older and authorize the participation of the above-named Registrant in activities with GENERATE Camp 2018.* *
Your answer
Submit
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