2026 Camp Rice/Adult Adoptee Only Track

2026 Camp Rice/Adult Adoptee Only Track - Registration Form

July 23-25, 2026 (Thursday 9:00 a.m. through Saturday 1:30 p.m.), Pearlstone Conference and Retreat Center, 5425 Mt. Gilead Road, Reisterstown, Maryland 21136
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Family Name
Parent / Adult Adoptee 1

First NameLast Name
Parent / Adult Adoptee 2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone (where you can be reached while at camp)
Format: (000) 000-0000.
Email
example@example.com
Are you a first time camper?
If you were referred by one of our campers, what is their name?
Would you like to receive our newsletters?

Adult Attendees
Not required if you're only registering teens in 9th - 12th grades
Please enter the number of teens and children based on their grade in FALL 2026.
Teens (9th - 12th Grade)
Teens (8th Grade)
Total Number of Teens
This form allows a maximum of 3 Teen registrations. Please register additional 9th - 12th Grade Teens on a separate form.
Children (3 years to 7th Grade)
Toddlers * (under the age of 3 years)
*Parents will be responsible to care for their young toddlers throughout camp hours. Camp Rice Children’s program is for ages 3 and up.
Total Number of Campers
There is an additional fee of $200 for less than 3 campers. You can waive this fee by sharing a room with another family.
Sharing Room with
Fee/Camper (up to 3 campers)
USD
Number of Campers (up to 3 campers)
Fee/Camper (more than 3)
USD
Number of Campers (more than 3)
Registration Fees ($)
Would you like to sponsor an adult adoptee counselor? Your contribution is tax-deductible
Please select amount
Please enter other amount ($)
Donation Total
Total Fee Calculation (when live, this field is hidden and feeds PayPal field)
Total Fee

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USDCamp Rice 2026
Payment

After completing the remainder of this form you can make your payment with Credit/Debit Card, PayPal/Venmo, Google Pay, or Apple Pay.

Refund Policy
Cancellation by February 28: 75 percent refund.
Cancellation by April 30: 50 percent refund.
Cancellation by June 1: 25 percent refund.
Unfortunately, no refunds will be provided for cancellations made after June 1.

Adult 1

First NameLast Name
T-shirt Size (adult 1)
Please sign Adult 1 up for
Adult 2

First NameLast Name
T-shirt Size (adult 2)
Please sign Adult 2 up for
Teen 1

First NameLast Name
Date of Birth (teen 1)

MonthDayYear
Date
Gender (teen 1)
Birth Country (teen 1)
T-shirt Size (teen 1)
Grade in upcoming Fall academic calendar (teen 1)
Teen 2

First NameLast Name
Date of Birth (teen 2)

MonthDayYear
Date
Gender (teen 2)
Birth Country (teen 2)
T-shirt Size (teen 2)
Grade in upcoming Fall academic calendar (teen 2)
Teen 3

First NameLast Name
Date of Birth (teen 3)

MonthDayYear
Date
Gender (teen 3)
Birth Country (teen 3)
T-shirt Size (teen 3)
Grade in upcoming Fall academic calendar (teen 3)
Child 1

First NameLast Name
Date of Birth (child 1)

MonthDayYear
Date
Gender (child 1)
Birth Country (child 1)
T-shirt Size (child 1)
Grade in upcoming Fall academic calendar (child 1)
Child 2

First NameLast Name
Date of Birth (child 2)

MonthDayYear
Date
Gender (child 2)
Birth Country (child 2)
T-shirt Size (child 2)
Grade in upcoming Fall academic calendar (child 2)
Child 3

First NameLast Name
Date of Birth (child 3)

MonthDayYear
Date
Gender (child 3)
Birth Country (child 3)
T-shirt Size (child 3)
Grade in upcoming Fall academic calendar (child 3)
Toddler 1

First NameLast Name
Date of Birth (toddler 1)

MonthDayYear
Date
Gender (toddler 1)
Toddler 2

First NameLast Name
Date of Birth (toddler 2)

MonthDayYear
Date
Gender (toddler 2)

Will you need handicapped accessible bathroom facilities?
Lodging for family campers: hotel style rooms can accommodate up to 6 campers (2 queen sized beds + 1 futon sofa). If family size exceeds 6, then the family may request for rollaway bed(s).
Number of rollaway beds requested
Please indicate any campers who have allergies (You will receive an additional form for teen campers): Food allergies will be accommodated by the kitchen staff.
Please use space below to provide any comments or special requests:

Signature

Payment Methods

Debit or Credit Card

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

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2026 Camp Rice/Adult Adoptee Only Track - Registration Form

Total Fee*

Payment Methods

Total Fee