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 (09-10 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, 8/8/10-8/13/10, $287
All Nations Outreach, 7/25/10-7/30/10, $295
Boys BB, 6/27/10-7/2/10, $336
Burmese Mission Outreach, 7/4/10-7/9/10, $295
Discovery, 8/1/10-8/6/10, $275
Drama, 7/18/10-7/23/10, $331
Explorer 1, 6/13/10-6/15/10, $113
Explorer 2, 6/16/10-6/18/10, $113
Explorer 3, 6/27/10-6/29/10, $113
Explorer 4, 6/30/10-7/2/10, $113
Explorer 5, 7/11/10-7/13/10, $138
Explorer 6, 7/14/10-7/16/10, $138
Explorer 7, 8/1/10-8/3/10, $138
Explorer 8, 8/4/10-8/6/10, $138
Girls BB, 7/18/10-7/23/10, $336
Kindercamp 1, 6/19/10-6/19/10, $35
Kindercamp 2, 7/31/10-7/31/10, $35
ReGroup, 7/4/10-7/9/10, $275
Treetop A, 6/13/10-6/18/10, $225
Treetop B, 6/20/10-6/25/10, $275
Treetop C - girls only, 6/27/10-7/2/10, $275
Treetop D, 7/11/10-7/16/10, $275
Treetop E - boys only, 7/18/10-7/23/10, $275
Treetop F, 7/25/10-7/30/10, $275
Treetop G, 8/1/10-8/6/10, $275
Treetop H, 8/8/10-8/13/10, $275
Treetop RG, 7/4/10-7/9/10, $275
Tri - C, 7/11/10-7/16/10, $322
Youth 1, 6/13/10-6/18/10, $225
Youth 2, 6/20/10-6/25/10, $275
Youth 3, 6/27/10-7/2/10, $225
Youth 3.5a, 6/27/10-6/29/10, $113
Youth 3.5b, 6/30/10-7/2/10, $113
Youth 4, 7/11/10-7/16/10, $275
Youth 4.5a, 7/11/10-7/13/10, $138
Youth 4.5b, 7/14/10-7/16/10, $138
Youth 5, 7/18/10-7/23/10, $275
Youth 6 - International, 7/25/10-7/30/10, $275
Youth 7, 8/8/10-8/13/10, $275
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, 8/8/10-8/13/10, $287
All Nations Outreach, 7/25/10-7/30/10, $295
Boys BB, 6/27/10-7/2/10, $336
Burmese Mission Outreach, 7/4/10-7/9/10, $295
Discovery, 8/1/10-8/6/10, $275
Drama, 7/18/10-7/23/10, $331
Explorer 1, 6/13/10-6/15/10, $113
Explorer 2, 6/16/10-6/18/10, $113
Explorer 3, 6/27/10-6/29/10, $113
Explorer 4, 6/30/10-7/2/10, $113
Explorer 5, 7/11/10-7/13/10, $138
Explorer 6, 7/14/10-7/16/10, $138
Explorer 7, 8/1/10-8/3/10, $138
Explorer 8, 8/4/10-8/6/10, $138
Girls BB, 7/18/10-7/23/10, $336
Kindercamp 1, 6/19/10-6/19/10, $35
Kindercamp 2, 7/31/10-7/31/10, $35
ReGroup, 7/4/10-7/9/10, $275
Treetop A, 6/13/10-6/18/10, $225
Treetop B, 6/20/10-6/25/10, $275
Treetop C - girls only, 6/27/10-7/2/10, $275
Treetop D, 7/11/10-7/16/10, $275
Treetop E - boys only, 7/18/10-7/23/10, $275
Treetop F, 7/25/10-7/30/10, $275
Treetop G, 8/1/10-8/6/10, $275
Treetop H, 8/8/10-8/13/10, $275
Treetop RG, 7/4/10-7/9/10, $275
Tri - C, 7/11/10-7/16/10, $322
Youth 1, 6/13/10-6/18/10, $225
Youth 2, 6/20/10-6/25/10, $275
Youth 3, 6/27/10-7/2/10, $225
Youth 3.5a, 6/27/10-6/29/10, $113
Youth 3.5b, 6/30/10-7/2/10, $113
Youth 4, 7/11/10-7/16/10, $275
Youth 4.5a, 7/11/10-7/13/10, $138
Youth 4.5b, 7/14/10-7/16/10, $138
Youth 5, 7/18/10-7/23/10, $275
Youth 6 - International, 7/25/10-7/30/10, $275
Youth 7, 8/8/10-8/13/10, $275
= Required Field
