Clone of All-Church Camp Registration Form

ALL CHURCH CAMP 2026

"Rej-UU-venate!"
The Camp Board of Directors encourages all campers to be vaccinated.
Your name (First Attendee)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone*

Area CodePhone Number
Email*
Confirmations will be sent via email unless otherwise requested.
Congregation*

First ChurchChaliceSummitOther
Age
Meal preference*
Please provide the age as of the first day of camp for campers 18 and under. Children under 2 are free but should still be rigistered.
2nd attendee

First NameLast Name
Age
Meal preference
3rd attendee

First NameLast Name
Age
Meal preference
4th attendee

First NameLast Name
Age
Meal preference
5th attendee

First NameLast Name
Age
Meal preference
6th attendee

First NameLast Name
Age
Meal preference
List any food allergies
Request for Special Accommodations AND/OR let us know other individuals attending who you'd prefer to room with.
Ride sharing

I will drive and can provide a ride.I NEED a ride!Not participating in ride sharing
If offering a ride, for how many?
To be listed for people who need rides
This is a cooperative camp. For its success, please sign up to help with one or more of the following activities.

Lead a WorkshopFriday/Saturday Evening MixersChildren’s Outing/ProgramHikesVolleyball or other organized sportsIntergenerational Games (non‐competitive)Saturday Evening Variety Show CoordinatorI am a currently certified nurse or doctorI have current CPR/First Aid certificationI have current Lifeguard Certification
If offering a workshop or other activity, please provide title and details
Would you like receive information about Camp de Benneville Pines and Friends of de Benneville Pines?

YesNo thanks, maybe later

Camp Fees and Payment

All Church Camp Reg.: 2‐12 yrs old$140.00

Quantity

All Church Camp Reg.: 13‐17 yrs old$170.00

Quantity

All Church Camp Reg.: 18+ yrs old$210.00

Quantity

All Church Camp: Scholarship Fund Donation$50.00

Quantity
Item subtotal:$0.00

All Church Camp Scholarship Donation$10.00

Quantity

All Church Camp Reg. service fee$5.00

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

ALL CHURCH CAMP 2026