17 C3IT

2025 Camp Calvary Counselor in Training

June 9-11, 2025
Parent Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Register your child for this camp*
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C3IT, Monday-Wednesday$140.00
Camper Information
Camper's Name*

First NameLast Name
Gender*

MaleFemale
Birth Date*

MonthDayYear
Grade they are GOING INTO in September*
Is your camper attending with a church? Please list their name if yes*
Head pastor of church attending (if applicable)
First time at Camp Calvary?*

YesNo
Medical Information
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number*

Area CodePhone Number
Other Phone Number

Area CodePhone Number
Any medical issues? (Allergies, respiratory, food allergies, etc.) (put n/a if none)*
Medications? (put n/a if none)*
Permission for*

TylenolIbuprofenBenadrylNone of these
Tetanus up to date?*

YesNoNot sure
Please make sure the camper also fills out the Applicant Questionnaire Form and has their pastor fill out the Pastor Recommendation Form ASAP.
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2025 Camp Calvary Counselor in Training