Summer Camps >> Event Registration


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, 2013. 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 June 2013:

 
Last Name:  
First Name:  
     
Mother's Name:  
Father's Name:  
     
Mailing Address:  
City:     State:  
Zip:        
           
Phone:        
*Parent's E-Mail:   *Parent's E-Mail address is required and used for confirmation letter only
*Camper's E-Mail:   *Camper's E-Mail address is required and used for confirmation letter only
     
Church Name:  
Cabin Mate:  
     

EVENT ATTENDING (Grades Completed in June 2013)

  Teen Challenge Camp (7th-12th grades completed) June 9-14, 2013
  Discovery Camp (5th – 6th grades completed) June 23-28, 2013
  Voyager Camp (2nd-4th grades completed) July 14-18, 2013
  Teen Fall Retreat (7th-12 grades completed)
  Winter Fund Raising Rally (Jan 19, 2013)
     

PLEASE NOTE:

Camp cost include: Camp T-Shirt, Activities, All Meals and Lodging for the Week. However, when calculating complete payment please consider the following:

  • Sibling Discount: For families with more than one child attending camp, please deduct $25.00 for every child after the first child's full registration. Pay full amount for the oldest child and take discount for the younger campers.

  • The amount of your Church to Pay (If Known)

  • If you have any questions, feel free to call the camp at  937-468-2519.

  • A $100 non-refundable fee is due by April 30th, 2013.


Questions or Concerns Please Describe Below

   

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