YMCA Camp Minikani Camp Registration

Due to our partnership with your child's school, we are excited to offer your child the opportunity to attend a week of overnight camp at YMCA Camp Minikani for a highly reduced rate! This opportunity is for campers ages 8-13 who have not attended an overnight camp at YMCA Camp Minikani in the past. Please complete the below form to either start the registration process, or to get a call from a camp director if you'd like more information about camp. Completing this form does not guarantee a spot. All forms completed will be processed by our camp office and a confirmation email will be sent once this form is process. Spaces are limited and are filled on a first come first serve basis.

Costs:

First Year - $20 per week
2nd Year - $50 per week
3rd Year - $75 per week
*For each returning year cost increases $25 per week

My camper has previously attended Camp Minikani*

YesNo

This will be my child's ___ year at Minikani*

We'd like more information, could a camp director please give us a callWe're ready to sign our child up!

Parent's Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent's Email Address*

example@example.com

Parent Cell Phone Number*

Please enter a valid phone number.

Parent's relationship to Camper*

Camper Name*

First NameLast Name

Camper Birthdate*

Date

Camper's Gender*

My child attends:*

School Name*

Please upload a copy of the letter from your camper's school showing that they qualify for free/reduced lunch. If you do not have a copy, you can request one from your child's school's office.*

Please choose your top 3 sessions you'd be interested in attending:*

	1st Choice	2nd Choice	3rd Choice
Camp Session Preference:

Please choose your top 3 sessions you'd be interested in attending:*

	1st Choice	2nd Choice	3rd Choice
Camp Session Preference: