2026 Junior #1

2026 Junior #1 Summer Camp Registration

Monday, June 15 - Friday, June 19 (Grades 3-6)
Parent Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Camper Information
Camper's Name*

First NameLast Name
Gender*

MaleFemale
Birth Date*

MonthDayYear
Grade they are GOING INTO in September*
Is your camper attending with a church? Please list their name if yes (if none, put n/a)*
Head pastor of church attending (if none, put n/a)*
First time at Camp Calvary?*

YesNo
Bunk Request (you may request ONE person)*

First NameLast Name
Medical Information
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number*

Area CodePhone Number
Other Phone Number

Area CodePhone Number
Any medical issues? (Allergies, respiratory, food allergies, etc.) (If none, put n/a)*
Medications? (If none, put n/a)*
Permission for*

TylenolIbuprofenBenadrylNone of these
Tetanus up to date?*

YesNoNot sure
All meals are included in the price of the camping program. If your camper has food allergies, please note that those on special diets must bring their own necessary supplements. A refrigerator and microwave is available for usage in preparation. A menu can be obtained with 2 weeks advanced notice. Email campcalvarykitchen@gmail.com to reach the head cook.
Registration
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Junior #1$395.00

Lake Day$5.00

Total $0.00
Your registration IS NOT CONFIRMED unless you receive a response email from JotForm indicating receipt of your payment. If you submit this form but do not pay, your registration is not valid and not confirmed.
Terms and Conditions

Registration requires that you agree to the terms and conditions, which includes boating consent and permission to render emergency treatment.
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2026 Junior #1 Summer Camp Registration

Terms and Conditions