Camp Registration Form

Camp Registration Form
Camper's Name

First Name Last Name
Camper's Date of Birth

Month Day Year
Date
Grade completed as of May 2021
Parents' Name
Parents' Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parents' Phone Number
Please enter a valid phone number.
Camp Selection

Please choose the camp(s) your child will attend:
Lad Camp: June 11 - 13 Crusaders Camp: June 28 - July 2 Mother-Daughter Mini Camp: June 21-23 Mother-Daughter Overnight: June 25-26 GA Camp: June 7-11 GA Camp: June 14-18 Centrikid: July 24-28
Should be Empty:

Camp Selection