Teen Camp Sign-Up

Teen Camp Sign-Up

Register your teen for Ground Up character development camp in Fallbrook (ages 14–18).
Participant's Full Name

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Participant's Email Address
example@example.com
Participant's Phone Number

Area CodePhone Number
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number

Area CodePhone Number
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Does the participant have any allergies or medical conditions?
Which camp areas are you most interested in?

Other
Why do you want to attend this camp? (Short Essay)
File Upload

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Schedule an Introductory call with one of our staff
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Camp Deposit$500.00

Quantity

Total $0.00
Signature
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