* 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
(mm/dd/yyyy)
(Fall 2012)
Please list years, e.g.: 2001-2003, 2005
e.g. Camp name: 2001-2003, 2005
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
Please note that there is room at the end of this section for additional notes and explanation.
Please note - your child's spot will be reserved as soon as your deposit payment is recieved
$
($300 deposit or greater)