Camp application - Summer 2012

Select your session

* indicates required field









1st session (3 weeks)

2nd session (4 weeks)

Two-week session (for NEW campers, age 10 and under)

Full session (7 weeks)

CIT





YES NO

Camper information


(mm/dd/yyyy)

(Fall 2012)


Please list years, e.g.: 2001-2003, 2005

e.g. Camp name: 2001-2003, 2005

Family details















Must be a Sunday School teacher or superintendent e.g.: "Joe Smith - teacher"


Please indicate relationship to camper
e.g.: "Joe Smith - uncle"

If either parent is deceased please enter "none" in all relevant fields












Additional camper information

Please note that there is room at the end of this section for additional notes and explanation.



YES NO




YES NO


YES NO


YES NO


YES NO


YES NO


YES NO


YES NO


YES NO


YES NO


YES NO



Payment information












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$


($300 deposit or greater)





  • A non-refundable $300 deposit must accompany this application to guarantee enrollment.
  • The deposit will be applied to your child’s tuition.
  • Discounts and penalties are explained on the tuition rate page.
  • Tuition payments may be made as often as you like throughout the year.
  • Tuition must be paid in full (US currency) by June 1, 2012.
  • Campership Aid applications are available by clicking here.
  • Uniforms and incidental expenses are not included in the "total tuition cost" shown above.