Camp Haven on the Road - Fort Smith 2026

Camp Haven on the Road - Fort Smith

We've packed up our games, activities, devotionals, counselors, and we're bringing them to you. We're excited to embark on this new adventure to bring, excitement, fun, and the love of Jesus to your children. We cannot wait to do camp with you!
Family Information
Parent/Guardian's Name

First NameLast Name
Contact Phone Number
Format: (000) 000-0000.
E-mail Address
example@example.com
Parent/Guardian's Name

First NameLast Name
Contact Phone Number
Format: (000) 000-0000.
E-mail Address
example@example.com
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Format: (000) 000-0000.
Relationship to Student
Please List Everyone Who Can Pick Up Your Camper(s)

Camper Information
Child Name

First NameLast Name
Desired Name
Completed Grade by Summer
Birth Date

MonthDayYear
Sex
Can we take pictures of this camper?
Friend Request (limit to one friend)
If your child has a friend they would like to be grouped with, please list them here.
- Child Name
  
  First NameLast Name
- Desired Name
- Completed Grade by Summer
- Birth Date
  
  MonthDayYear
- Sex
- Can we take pictures of this camper?
- Friend Request (limit to one friend)
  If your child has a friend they would like to be grouped with, please list them here.
- Child Name
  
  First NameLast Name
- Desired Name
- Completed Grade by Summer
- Birth Date
  
  MonthDayYear
- Sex
- Can we take pictures of this camper?
- Friend Request (limit to one friend)
  If your child has a friend they would like to be grouped with, please list them here.
- Child Name
  
  First NameLast Name
- Desired Name
- Completed Grade by Summer
- Birth Date
  
  MonthDayYear
- Sex
- Can we take pictures of this camper?
- Friend Request (limit to one friend)
  If your child has a friend they would like to be grouped with, please list them here.

Deposit

$50.00 Quantity

Camp Haven on the Road

Completed 2nd grade through completed 6th grade

$200.00 Quantity

Cub Camp

4 years old through completed 1st grade

$200.00 Quantity

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Subtotal

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Total

Camp Haven on the Road - Fort Smith