Clone of 2025 Winter Weekends

Winter Weekends 2026

January 9-10 (Junior), January 15-17 (Senior High), February 5-7 (Junior High)
Parent Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
(Used for confirmation and communication)
Camper Information
Camper's Name*

First NameLast Name
Gender*

MaleFemale
Birth Date*

MonthDayYear
Grade they are in currently*
Is your camper attending with a church? Please list their name if yes.*
If none, type n/a
Head pastor of church attending (if applicable)*
If none, type n/a
First time at Camp Calvary?*

YesNo
Bunk Request (you may request ONE person).*

First NameLast Name
Contact Information
Primary phone number*

Area CodePhone Number
Secondary phone number*

Area CodePhone Number
Other phone number

Area CodePhone Number
Medical Information
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.
Winter Weekend Options*
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Junior Winter Weekend (Grades 3-6) Jan 9-10$97.00

Junior High Winter Weekend (Grades 7-9) Feb 5-7$150.00

Senior High Winter Weekend (Grades 10-12) Jan 15-17$150.00

Total $0.00
Your registration IS NOT CONFIRMED unless you receive a response email from PayPal indicating receipt of your payment. If you submit this form but do not pay, your registration is not valid and not confirmed.
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Winter Weekends 2026