Please list the name and age for each person.
Campers must be immunized against: Mumps, Measles, Whooping Cough, Polio, Diphtheria, Rubella, Tetanus
Emergency Contact Phone Numbers:
I have read the general information and agree to support Greenbrier Christion Retreat in the dress and conduct regulations for my child. I also give permission for my child to attend and to use photos and video that include the camper in camp publicity. In case of medical emergency, I understand that every effort will be made to contact parents or guardians of campers. In the event I cannot be reached, I hereby give permission to the physician selected by the camp director to hospitalize and secure proper treatment for my child. I agree to the transportation of my child for activities at Greenbrier Christion Retreat. I have read and agree to the Individual Consent and Release Agreement.
Junior Week [June 10-14]: $200*
Teen Week [June 17-21]: $200*
*Early Bird price is discounted to $175 if registering by March 1, 2024.
Register before March 1st with $75 church deposit plus $15 per camper.Total: $175 per camper before March 1st$200 per camper after March 1st
"And of some have compassion, making a difference." - Jude 1:22