Sr High Camp - Boys (July 3 - 7)
Camper Information
Camper Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
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Month
Please select a day
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Day
Please select a year
2024
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Year
The camper will be entering what grade the following school year.
*
Please Select
10th
11th
12th
Attended Camp Before
*
Please Select
Yes
No
Local Church Affiliation
T-Shirt
*
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
Adult 3X-Large
Roommate Request
(Limit One Please. Grades 7-9 and 10-12 will be separated and will not be able to room together. We will try to honor these but there is no guarantee.)
FOR CAMPER: I agree to participate in all camp activities and to obey safety regulations and direction of the camp staff.
*
Yes
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Parent/Legal Guardian Contact information
Parent Name
*
First Name
Last Name
Relationship
*
Phone Number
-
Area Code
Phone Number
Cell Phone Number
-
Area Code
Phone Number
E-mail
*
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For Parent/Guardian
I/We give full permission for our son/daughter to attend camp, participate in activities and group photo:
*
Yes
Photographs may be used in camp publicity:
*
Yes
No
I/We give permission to share contact information with other campers
*
Yes
No
By submitting this form I agree to our terms of service
*
Click here
for the Terms and Conditions.
Payment
Payment Types
*
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( X )
Online
$
281.50
Check
$
Free
Enter coupon
Apply
Notice! Due to the costs of online registration a fee of $6.50 will be added to the total.
Once you "Submit Form" you will redirected to PayPal.com
Pay by Check - $275.00
Please make your checks payable to Caney Conference Center and mail them to Camp Caney, P.O. Box 707, Minden, La. 71055. You can also bring it with you to camp.(This information will be emailed to you once you click "Submit Form").
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