1
Camper
Information
2
Parent
Information
3
Other
Options
4
Verification
& Checkout
Camper Information
Use this form to register one camper for each camp program. For mulitple campers or programs, please complete this form again.
Camper's First Name
Camper's Last Name
Other Optional Preferences
1st Roommate Preference
(More Info)
Campers are placed in cabins according to 1) grade and 2) roommate preference. We will do our best to match up to two roommate preferences. Because our cabins house only seven or eight campers, groups of friends consisting of four to six campers are difficult to accommodate and may be split into two smaller groups for housing purposes.
2nd Roommate Preference
Counselor Preference
Grade (10-11 school year)
Birth Date
Not Selected
PreSchool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Gender
Male
Female
Camp Program
1st Choice
Select Camp Program
Adventure Unlimited, 6/19/11-6/24/11, $285
All Nations Outreach, 7/24/11-7/29/11, $305
Boys BB, 7/10/11-7/15/11, $348
Burmese Mission Outreach, 6/26/11-7/1/11, $305
Discovery, 7/31/11-8/5/11, $285
Drama, 7/17/11-7/22/11, $343
Explorer 1, 6/12/11-6/14/11, $118
Explorer 2, 6/15/11-6/17/11, $118
Explorer 3, 6/19/11-6/21/11, $143
Explorer 4, 6/22/11-6/24/11, $143
Explorer 5, 7/10/11-7/12/11, $143
Explorer 6, 7/13/11-7/15/11, $143
Explorer 7, 7/17/11-7/19/11, $143
Explorer 8, 7/20/11-7/22/11, $143
Explorer 9, 7/31/11-8/2/11, $143
Explorer 10, 8/3/11-8/5/11, $143
International-Youth 6, 7/24/11-7/29/11, $285
Kindercamp 1, 6/18/11-6/18/11, $36
Kindercamp 2, 7/30/11-7/30/11, $36
Noble Servants, 7/3/11-7/8/11, $305
ReGroup, 7/3/11-7/8/11, $285
Treetop A, 6/12/11-6/17/11, $235
Treetop B, 6/19/11-6/24/11, $285
Treetop C, 6/26/11-7/1/11, $285
Treetop D girls only, 7/10/11-7/15/11, $285
Treetop E boys only, 7/17/11-7/22/11, $285
Treetop F, 7/24/11-7/29/11, $285
Treetop G, 7/31/11-8/5/11, $285
Treetop H, 8/7/11-8/12/11, $235
Treetop RG, 7/3/11-7/8/11, $285
Tri - C, 7/17/11-7/22/11, $333
Youth 1, 6/12/11-6/17/11, $235
Youth 2, 6/19/11-6/24/11, $285
Youth 3, 6/26/11-7/1/11, $285
Youth 3.5a, 6/26/11-6/28/11, $143
Youth 3.5b, 6/29/11-7/1/11, $143
Youth 4, 7/10/11-7/15/11, $285
Youth 4.5a, 7/10/11-7/12/11, $143
Youth 4.5b, 7/13/11-7/15/11, $143
Youth 5, 7/17/11-7/22/11, $285
Youth 6 - International, 7/24/11-7/29/11, $285
Youth 7, 8/7/11-8/12/11, $235
Youth 7.5a, 8/7/11-8/9/11, $118
Youth 7.5b, 8/10/11-8/12/11, $118
Alternate Choice
(More Info)
If your
1st Choice
program is full and you provide an
Alternate Choice
, you will be enrolled in your
Alternate Choice
. If both your
1st Choice
and
Alternate Choice
are full, we will contact you in regards to possible alternatives or to return your deposit/payment.
Alternate Selection (optional)
Adventure Unlimited, 6/19/11-6/24/11, $285
All Nations Outreach, 7/24/11-7/29/11, $305
Boys BB, 7/10/11-7/15/11, $348
Burmese Mission Outreach, 6/26/11-7/1/11, $305
Discovery, 7/31/11-8/5/11, $285
Drama, 7/17/11-7/22/11, $343
Explorer 1, 6/12/11-6/14/11, $118
Explorer 2, 6/15/11-6/17/11, $118
Explorer 3, 6/19/11-6/21/11, $143
Explorer 4, 6/22/11-6/24/11, $143
Explorer 5, 7/10/11-7/12/11, $143
Explorer 6, 7/13/11-7/15/11, $143
Explorer 7, 7/17/11-7/19/11, $143
Explorer 8, 7/20/11-7/22/11, $143
Explorer 9, 7/31/11-8/2/11, $143
Explorer 10, 8/3/11-8/5/11, $143
International-Youth 6, 7/24/11-7/29/11, $285
Kindercamp 1, 6/18/11-6/18/11, $36
Kindercamp 2, 7/30/11-7/30/11, $36
Noble Servants, 7/3/11-7/8/11, $305
ReGroup, 7/3/11-7/8/11, $285
Treetop A, 6/12/11-6/17/11, $235
Treetop B, 6/19/11-6/24/11, $285
Treetop C, 6/26/11-7/1/11, $285
Treetop D girls only, 7/10/11-7/15/11, $285
Treetop E boys only, 7/17/11-7/22/11, $285
Treetop F, 7/24/11-7/29/11, $285
Treetop G, 7/31/11-8/5/11, $285
Treetop H, 8/7/11-8/12/11, $235
Treetop RG, 7/3/11-7/8/11, $285
Tri - C, 7/17/11-7/22/11, $333
Youth 1, 6/12/11-6/17/11, $235
Youth 2, 6/19/11-6/24/11, $285
Youth 3, 6/26/11-7/1/11, $285
Youth 3.5a, 6/26/11-6/28/11, $143
Youth 3.5b, 6/29/11-7/1/11, $143
Youth 4, 7/10/11-7/15/11, $285
Youth 4.5a, 7/10/11-7/12/11, $143
Youth 4.5b, 7/13/11-7/15/11, $143
Youth 5, 7/17/11-7/22/11, $285
Youth 6 - International, 7/24/11-7/29/11, $285
Youth 7, 8/7/11-8/12/11, $235
Youth 7.5a, 8/7/11-8/9/11, $118
Youth 7.5b, 8/10/11-8/12/11, $118
= Required Field