Camper Information

Camper's Name

Date of Birth

Gender

Male
Female

Grade entering in Fall 2024:

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Church Attending:

Camper Lives with:

Address

If there are any persons NOT ALLOWED to pick up your child, please list name(s) and relationship(s). Campers in grades K-8th grades must be signed out by an authorized adult at the end of the week.

Guardian Information

When and where appropriate, please type "N/A" (not applicable) in appropriate box and use zeros for that phone number. Thank you!

Mother's Name

Mother's Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Father's Name

Father's Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Legal Guardian's Name [leave blank if same as parent]

Legal Guardian's Phone Number (leave blank if same as parent)

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address

Event Registration Software by RegFox

Senior High 2 [9th - 12th]

Camper Information

Guardian Information