Online Registration

Attention Parents or Guardians: There are two options when registering online – paying the $25.00 deposit or paying the full price (early bird fee). Scroll down after you get to the PayPal window to see both options. If for any reason the entire fee cannot be paid with the online registration, at least $25 of the fee is required in order to hold a spot for your child in the camp chosen. The remainder of the fee must be paid prior to the beginning of camp. In order to receive the early-bird price, the fee must be paid in full two weeks prior to the first day of the camp attending.

Any participant without a completed Health Form will not be allowed to stay at camp.

If you have not pre-registered two weeks prior to camp, please call to see if space is available.

First Name:
Middle Name:
Last Name:
Home Phone:
Address:
City:
State:
Zip Code:
Gender:	Female Male
First Time Camper:	Yes No
Date of Birth:	01/02/1999
Grade in Fall 2012:
Special needs, request for handicap facilities:	Yes No
If yes, explain:
Church:
Association:
Pastor's Name:
Do you give your child permission to swim in the river with lifeguard supervision?
	Yes No
Do you give your permission for photographs to be taken during the camp and used for promotional purposes?
	Yes No
Parent or Guardian if camper is under 21
First Name:
Last Name:
If Address is different than above please provide the adress of Parent or Guardian.
Address:
City:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Camp to Attend:	Choose...Younger MidlerJunior High IJunior IJunior High IIMid HighSenior HighJunior IIOlder Midler
To complete your registration click on continue and pick the camp you wish your child to attend.