Junior Camp Week 2 
Camp: July 6th - July 10th 2026
Start: Registration 3:00 - 5:00 PM
End: Pick up 10:30 AM 
Contact: Greg Chromy - Camp Director (906) 203-1636 
Email: Campcanaanland@gmail.com

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Email *
Camper Last Name *
Camper First Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Grade going into in the fall
Parent/Guardian's Name
Emergency Contact Phone #1
Emergency Contact Phone #2
Email *
Church coming to camp with
Food Allergies *
Required
Please List if YES
Prescription Medications *
Required
Please List if YES
Does Camper of Medical Insurance *
Required
Request to be in a cabin with a friend 
Parental E-Signature *
A copy of your responses will be emailed to the address you provided.
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