Registration Adjustment Form
This form is intended for the purpose of ADDING or REMOVING camper options to or from a camper's existing registration.
Camper Name
*
First Name
Last Name
Camper's Date of Birth
*
Program Registered For
*
JR Survival Camp
Teen Survival ONE
Teen Survival TWO
Switchback20
OnTrack
Unsure
Other
E-mail
*
Parent/Guardian Name
*
First Name
Last Name
Home Number
-
Area Code
Phone Number
Cellular Number
-
Area Code
Phone Number
If you need to REMOVE or adjust any registration option, please indicate in this box.
Example: I do not need an airport shuttle - changed plans.
Add any options:
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( X )
Picture Pass (Recommended)
$9.00
$
9.00
Online access to downloadable pictures from your week(s) at The Wilderness Christian Camp. Pictures can be accessed from a smart phone, computer, or tablet.
Buy Camp T-shirt in Advance
$22.00
$
22.00
What Size?
CHOOSE
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Buy Extra Camp T-shirt for Friend or Family
$24.00
$
24.00
What Size?
CHOOSE
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Rent Sleeping Pad
$15.00
$
15.00
This is a lightweight foam pad that can be easily strapped to the camper's backpack.
Rent Professional Backpack - 20-DAY PROGRAMS
$75.00
$
75.00
(A gear backpack is required for this program. You can purchase a backpack from an outfitter or an online retailer. Typical costs for a professional bag start around $185.00. If you would like to reserve a Rental Backpack for your camper, please click this box now)
Rent Professional Backpack - 6-DAY PROGRAMS
$55.00
$
55.00
(A gear backpack is required for this program. You can purchase a backpack from an outfitter or an online retailer. Typical costs for a professional bag start around $185.00. If you would like to reserve a Rental Backpack for your camper, please click this box now)
Airport Shuttle
$30.00
$
30.00
(Our staff will safely transport camper to or from Yeager Airport in Charleston, WV)
1 or 2 (One Way or Round Trip)?
Bus Station Shuttle
$30.00
$
30.00
(Our staff will safely transport camper to or from Greyhound Bus Terminal in Charleston, WV or Ripley, WV)
1 or 2 (One Way or Round Trip)?
Weekend Laundry Service
$12.00
$
12.00
FOR SWITCHBACK PROGRAM OR MULTIPLE TEEN WEEKS ONLY- There is no laundry facility available to campers on campus. Each weekend our staff will transport camper laundry off-site to a local laundry facility, wash, dry, fold, and return clean clothes to the camper. Please Note: A "What To Bring" email will be sent to you requiring the camper to bring quarters for coin operated washers/dryers.
I DID NOT SEND LAUNDRY QUARTERS W/ CAMPER
$16.00
$
16.00
FOR SWITCHBACK PROGRAM OR MULTIPLY TEEN WEEKS ONLY
I DID NOT SEND ISOBUTANE FUEL W/ CAMPER
$12.00
$
12.00
FOR SWITCHBACK PROGRAM ONLY
Rental Hatchet
$8.00
$
8.00
FOR SWITCHBACK PROGRAM ONLY
Pre-pay for Snack Shop-30
$30.00
$
30.00
Pre-pay for Snack Shop-50
$50.00
$
50.00
Pre-pay for Snack Shop-75
$75.00
$
75.00
Pre-pay for Snack Shop-100
$100.00
$
100.00
Pre-pay for Snack Shop-125
$125.00
$
125.00
Pre-pay for Snack Shop-150
$150.00
$
150.00
Hatchet Rental
$15.00
$
15.00
*** This is for the Switchback20 Program only.
Enter coupon
Apply
Total
$0.00
$
0.00
Special notes or comments
Note: I filled this out for my grandson. Not sure of emails address.
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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