2024 WWR Residential Camp Online Registration

Wildwood Ranch 2024 Online Overnight Camp Application

- 2024 Residential Camp Application -

To begin the online registration, click the Next button below.

If you need more information on Summer Camp 2024, email
us info@wildwoodranch.org, call us at 517.548.1736, or click HERE
for more information on our Residential Summer Camp Programs.
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General information
Campers Name*

First NameLast Name
Gender*

MaleFemale
Birth Date*

MonthDayYear
Parent/Guardian Name*

First NameLast Name
Parent/Guardian #1 Phone*
Parent/Guardian #1 Alternate Phone*
2nd Parent/Guardian Name

First NameLast Name
Phone
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Emergency Contact*

First NameLast Name
Emergency Contact Phone*
Camp Selection - The cost for each camp is $600.00.*

WEEK #2 LAUNCH #1 (Ages 8-10) June 9-14, 2024WEEK #3: SHOCKWAVE #1 (Ages 11-12) June 16-21, 2024WEEK #4 LAUNCH #2 (Ages 8-10) June 23-28, 2024WEEK #6 LAUNCH #3 (Ages 8-10) July 7-12, 2024WEEK #7 SHOCKWAVE #2 (Ages 11-12) JULY 14-19, 2024WEEK #8 LAUNCH #4 (Ages 8-10) JULY 21-26, 2024
FULL Camp Selection - This section is for WAITING LIST ONLY.*

WEEK #5 REVOLUTION CAMP (Ages 13-15) June 30-July 5, 2024
There are scholarships available for all weeks of camp except specialty horse camps. These scholarships are based on need. Please go to the "SUMMER CAMPS" page on our website and click on the "Scholarship" button or call the camp office to obtain information about obtaining a scholarship. NOTE: Campers can receive a scholarship for only one week of camp per summer.
Church Name
Church City
Pastor's Name
Name of School*
School City*
Grade entering in fall*
Will your camper ride the bus from our Detroit bus stop (Pickup is at 138 Stimson in Detroit) or be dropped off at the camp?*

Bus Stop in DetroitDropped off at the camp office
Housing Requests (choose ONLY ONE friend or sibling to share a cabin with)
I authorize my child to be picked up by the following individuals .*

Camper's Parent / Guardian (listed above)Camper's 2nd Parent / Guardian (listed above)Other persons who may pick up my child - Please list below.
Names of persons who you give permission to pick up this camper.
Names of persons who MAY NOT pick up this camper.
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Click next to continue

Payment Information

Please send in a $50 deposit for each week of camp you are registering.
Payment Type*

Check - See the instructions below (We will hold your application until we receive your check)Call the camp office with my credit card (We will hold your application until we receive your credit card)
If paying by check you should:

Please Send Check With Campers Name as a memo to:

Wildwood Ranch Summer Registration

4909 Brophy Road

Howell, MI 48855
I understand that there will be physical activities of which my child may participate and that my child may be exposed to the possibility of injury. I hereby expressly waive any and all liabilities on the part of Detroit Rescue Mission Ministries (DRMM) and their staff for any such injury. I give permission for routine medical treatment to be administered to my child. In case of an emergency, and I cannot be contacted, I give permission for DRMM staff to select a licensed physician and authorize the physician to secure proper treatment for my child. I understand that I am financially responsible for all health care related expenses for my child. I understand that photographs and / or videos may be taken of my child while at camp. Parent/guardian of the participating child hereby grants DRMM, American Camp Association, Christian Camp and Conference Association and Prison Fellowship Ministries (“PFM”) and their affiliates and agents, irrevocable permission to use, record, and reproduce the image and likeness of his/her participating child in any manner and in all media now or hereafter known, for any and all purposes (including advertising and promotional use), in perpetuity throughout the world, without restriction as to alteration. Parent/guardian and participating child give this consent with no claim for payment. Ages of camps are inclusive. Older campers may NOT attend a younger camp. All camps are co-ed. Wildwood Ranch will not discriminate against any individual or group because of race, gender, religion, age, national origin, color, marital status, family status, handicap or political beliefs. When your application and deposit are received, a medical form and confirmation letter will be sent to you explaining camp procedures, spending money and a suggested list of needed articles for your stay at Wildwood Ranch. I understand that my deposit is non-refundable and that a minimum number of campers is necessary in order to operate each program.*

I agree
Please sign here:*

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