Clone of Summer Camp 2025

Summer Camp Registration 2026

July 13th-17th. 9am-12pm, ages 8-12
Camper Name
Last Name*
First Name*
MaleFemale
Camper's Information
Address*
City*
State*
Zip*
Home Phone*

Area CodePhone Number
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*

Area CodePhone Number
Emergency Number #2

Area CodePhone Number
Birth Date*

MonthDayYear
Grade entering in the fall*
Youth SYouth MYouth LYouth XLOther
Camper Shirt Color
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Parent /Legal Guardian 2
Relation 2
Work Phone 2

Area CodePhone Number
Cell Phone 2

Area CodePhone Number
Email Confirmation
Parents Email (camper confirmation will be sent by email, if left blank it will be mailed)
How did you hear about Granger Summer Camp?
All fileds are required below. If nothing applies, please put "NONE" in the box. Thanks.
Any activity the camper should be restricted from?*
Any physical, mental or other condition that would require special attention or medication while at camp?*
List any allergies (ex: bees,peanuts, dairy)*
Any dietary needs that we should know about?*
Camper Release
Camper Release (List anyone, including parents, to whom your camper can be released)*
By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper by authorized personnel. The camp carries secondary insurance. I understand that the above named camper will only be released to the names listed above, an update may be done at registration. I certify that my child has my permission to attend camp and participate in all activites. I authorize The Granger Homestead to use my camper's picture, testimony, and video in any promotional material(web,print,or media).
Signature*
Electronic signature, please initial*
Payment Information

Unlike in previous years, campers must attend all 5 days of camp in order to facilitate a cohesive flow for the week. Each day builds upon the previous day, and so children will benefit from attending each day. Cost: $100 per camper. (NOTE: If you are a Granger Homestead Member at the Gideon II, Francis, or Mindwell levels, please call to register your children to receive your membership discount)
My Products
prevnext( X )
Summer Camper$100.00
One Payment for one child to attend all 5 days of Summer Day Camp

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Summer Camp Registration 2026

Camper Name

Camper's Information

Parent or Legal Guardian Information

Email Confirmation

Camper Release

Payment Information