Ultimate Challenge Pre-Registration Form (Camp Cost $450)

Thank you for choosing Camp Frederick for your child to attend for summer camp. Please complete the following information to start the registration process. As we move to integrating online registration at Camp Frederick this form is the first step. Over the next few years our goal is that you will be able to complete the entire registration process online however, for now we are gathering the initial information and will email you the rest of the paperwork we need to complete your child's registration.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    Must be a valid email address
    This is a required question
    xxx-xxx-xxxx
    This is a required question
    xxx-xxx-xxxx
    This is a required question
    xxx-xxx-xxxx
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Captionless Image

    Camper Checkout

    When the camp session is complete the following adult(s) are authorized to pick up my child (parents put your name down as well). Please inform all individuals they must have a photo ID ready to present to the staff upon pick up; this is for the safety of your child to insure only those allowed are picking up your child.
    This is a required question
    Must match pattern
    This is a required question
    This is a required question
    Must match pattern
    This is a required question
    This is a required question
    Must match pattern
    This is a required question

    Captionless Image

    Available Discounts

    Discounts are NOT applicable for Day Camp or Mini Camp. Only 2 discounts allowed per camper. Discounts will be applied in the office.
    This is a required question
    This is a required question
    This is a required question

    Bring a Friend (not a discount)

    If a past camper bring a friend(s) who has never been to Camp Frederick before both will receive a special bonus item not sold in our camp store.
    This is a required question

    Financial Assistance is Available through our Campership Program

    We understand the cost of camp can be rather daunting at times. For this reason we have our Campership Program that is designed to help defray the cost of camp. We ask people not to be afraid to ask for assistance if it is needed. We raise money throughout the year because we believe every child should have the opportunity to attend summer camp.
    This is a required question

    There will be a $100 non-refundable deposit due after we receive your pre-registration

    After we receive this form we will send you an email with the rest of the information you need to fill out for your child to attend summer camp. We ask that this information be filled out immediately and returned with your deposit. We will hold your child's spot at camp for 30 days while we wait to receive the rest of your information and deposit.
    This is a required question
    Must contain
    This is a required question