Camp Cotubic - Bellefontaine, Ohio

Summer Camps >> Register for Camp

Camp participants can now register online using the form below. Once submitted, you will be forwarded to a page where you can choose to also pay online.

A $100 non-refundable deposit is due by April 30th, 2008. Late registrations are accepted, however space is limited and spots are reserved on a first deposit-paid basis.

Don't want to register online...Click here for our printer friendly registration form.
Please print our Medical/Emergency Form and bring the completed form with your son or daughter when camp begins.

PERSONAL INFORMATION

		Female	Male \|	Grade Finished Spring 2008:
Last Name:
First Name:

Mother's Name:
Father's Name:

Mailing Address:
City:			State:
Zip:

Phone:
*E-Mail:	*E-Mail address is required and used for conformation letter only

Church Name:
Cabin Mate:

CAMP WEEK ATTENDING (Grades Completed in June 2008)
	Teen Challenge Camp (7th - 12th Grade), June 15th-20th, 2008 - Cost $260.00
	Discovery Camp (5th - 6th Grade), July 13th-18th, 2008 - Cost $260.00
	Voyager Camp (2nd - 4th Grade, July 27th-31, 2008 (Sunday through Thursday) - Cost $240.00


PLEASE NOTE:
Camp cost include: Camp T-Shirt, Horseback Riding, Activities, All Meals and Lodging for the Week. However, when calculating complete payment please consider the following: Less Sibling Discount for Additional Children (Subtract $25) Additional Children in Immediate Family receive $25 Discount applied to the later camps. The amount of your Church to Pay (If Known) If you have any questions, feel free to call the camp at 937-468-2519. Once the form is submitted, you will be forwarded to a confirmation page where you may pay online. A $100 non-refundable fee is due by April 30th, 2008.

Questions or Concerns Please Describe Below