Camp Micah Sign Up 2018

Thank you for your interest in Camp Micah!
Camp is August 19th-24th, 2018

These responses will be used for registration purposes only. Personal information will remain secure.

Please complete all questions:

Last Name *
Your answer
First Name *
Your answer
E-mail *
Your answer
Phone Number(s) *
Your answer
City *
Your answer
Street Address and Postal Code *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender you identify with *
Your answer
School *
Your answer
School address and Phone Number *
Your answer
Present Grade *
Your answer
Religious Affliation/Congregation
Only if applicable
Your answer
How did you hear about Camp Micah? *
Your answer
Preferred T-shirt Fit *
(choose one)
Camp Fees and Fundraising *
The fees for camp are as follows: $50 deposit, $400 camp fee, $50 transportation fee (if you require transportation to and from camp). If money is an obstacle, we ask that you try asking family, friends, community organizations or your school for some help -- often times, churches, schools and community organizations and businesses have funds set aside for this kind of experience. Please indicate if you would like us to send you a fundraising letter template to help you raise funds in your community.
Deposit Payment *
Once you have submitted this application, please email transfer a $50 deposit to campmicahmail@gmail.com or send a cheque, payable to "Camp Micah", to our office. Please indicate your method of payment below.
Required
Friend Referral
If you refer a friend to Camp Micah in 2018, you qualify for a $50 discount from your camp cost! If you referred a friend, please write their first and last name in the space provided. If you did not refer a friend, leave this space blank.
Your answer
Once you have signed up for camp, you will receive a registration package via email. This will outline more details about dates, times, payments, etc. Then, in summer you will receive another email with more details about transportation and what to pack. Do you have any questions for us at this time?
Thank you for considering Camp Micah!!!
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