2026 Camp Rice Day Camper Registration

2026 Camp Rice Day Camper 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
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
Select Day(s)
Registration Fees ($)
Would you like to sponsor an adult adoptee counselor? Your contribution is tax-deductible
Please select amount
Please enter other amount ($)

T-Shirts can be ordered on the next page for $15 each. Please leave the size field blank if you don't want one.

Adult 1

First NameLast Name
T-shirt Size (adult 1)
$15/T-shirt
Please sign Adult 1 up for
Adult 2

First NameLast Name
T-shirt Size (adult 2)
$15/T-shirt
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)
$15/T-shirt
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)
$15/T-shirt
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)
$15/T-shirt
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)
$15/T-shirt
Grade in upcoming Fall academic calendar (child 1)
Child 2

First NameLast Name
Date of Birth (child 2)

MonthDayYear
Date
Gender (child 2)
$15/T-shirt
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)
$15/T-shirt
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)
Total T-Shirt Fee

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
Registration ($)
Donation ($)
T-Shirts ($)
Total Fee
Total Fee

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USDCamp Rice Day Camp 2026

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2026 Camp Rice Day Camper Registration Form

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