Fuge Camp Registration

Fuge Camp Registration

July 13-17th | Berry College Mt.Berry, GA| $325 per person, $500 max per family
Student Name

First NameLast Name
Current Grade: Current Grade
Age: Age
Please Select

MaleFemale
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Shirt Size

SmallMediumLargeX LargeXX Large
Do You Have Any Food Allergies

YesNo
Do You Have a Pre-existing Medical Condition?

YesNo
If So Please Describe in Detail
Parent Name

First NameLast Name
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email
example@example.com
Medical Insurance Provider name
Camp Fees:

$325 per youth
$500 for families with two or more youth
Payment due by June 30th

Payments accepted: Cash, check (made payable to River of Life), Venmo, or PayPal.
A scholarship (financial aid) is needed to assist in youth attending camp.

YesNo
Should be Empty: