Family Camp Registration Form 2026
Rooted in Christ: Est. in Faith
Camper Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Home Church
*
Will be staying in...
*
Dorms
Bringing a camper
For planning purposes please list attending family members and ages of children
*
Special Requests (Anything we should know to make your visit to camp more enjoyable.)
Payment Method (Camp fee $95/Adult, $55/Youth (6-17). This can be paid now or when you arrive for camp.)
*
Pay cash or check when I arrive at camp.
Pay now with PayPal (Select Camp Registration on next question)
My Products
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Adult Registration
$
95.00
Quantity
1
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Youth Registration (6-17 yrs.)
$
55.00
Quantity
1
2
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10
Child Registration (0-5 yrs.)
$
Free
Quantity
1
2
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5
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10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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