2021 Summer Camp Registration.
Please fill out this form and click submit.
Parent 1 Name
*
Parent 1 Email
*
This address will receive a confirmation email
Parent 1 Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent 2 Name
*
Parent 2 Phone
Parent 2 Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Camper 1 Information
Name
*
Gender
*
Please select one option.
Male
Female
Grade currently attending (2020-2021)
*
Please select one option.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Select Option
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Camp Selection
*
Please select all that apply.
K-2 Day June14-17
K-2 Overnight July 18-21
345 Day June 21-24
345 Overnight July 25-28
JV (Grades 6-8) June 27-30
Varsity (Grades 9-12) July 11-14
Payment
Overnight ($195)
Other ($0)
Day Camp ONLY ($180)
Overnight ($195)
Other ($0)
Day Camp ONLY ($180)
Amount
Additional Items
No selection ($0)
Water bottle ($5)
Survival Kit (includes souvenir T-shirt, waterbottle, cinch sack and flashlight ($30)
No selection ($0)
Water bottle ($5)
Survival Kit (includes souvenir T-shirt, waterbottle, cinch sack and flashlight ($30)
Amount
T-shirt Size
*
Please select one option.
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
Allergies?
Requested Bunkmate?
Camper 2 Information
Name
Gender
Please select one option.
Male
Female
Grade currently attending (2020-2021)
Please select one option.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Select Option
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Camp Selection
Please select one option.
K-2 Day June14-17
K-2 Overnight July 18-21
345 Day June 21-24
345 Overnight July 25-28
JV (Grades 6-8) June 27-30
Varsity (Grades 9-12) July 11-14
Payment
$0
Additional items
No Selection ($0)
Water bottle ($5)
Survival Kit (includes souvenir T-shirt, waterbottle, cinch sack and flashlight ($30)
No Selection ($0)
Water bottle ($5)
Survival Kit (includes souvenir T-shirt, waterbottle, cinch sack and flashlight ($30)
Amount
T-Shirt Size
Please select one option.
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Requested Bunkmate
Allergies?
Camper 3 Information
Name
Gender
Please select one option.
Male
Female
Grade currently attending (2020-2021)
Please select one option.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Select Option
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Camp Selection
Please select one option.
K-2 Day June14-17
K-2 Overnight July 18-21
345 Day June 21-24
345 Overnight July 25-28
JV (Grades 6-8) June 27-30
Varsity (Grades 9-12) July 11-14
Select Option
K-2 Day June14-17
K-2 Overnight July 18-21
345 Day June 21-24
345 Overnight July 25-28
JV (Grades 6-8) June 27-30
Varsity (Grades 9-12) July 11-14
Payment
$0
Additional items
No selection ($0)
Water bottle ($5)
Survival Kit (includes souvenir T-shirt, waterbottle, cinch sack and flashlight ($30)
No selection ($0)
Water bottle ($5)
Survival Kit (includes souvenir T-shirt, waterbottle, cinch sack and flashlight ($30)
Amount
T-shirt Size
Please select all that apply.
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Requested Bunkmate
Allergies?
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
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