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Summer Camp: Register Online for 2014

Please complete one online registration for each child.
Be sure not to navigate away from this page to avoid losing information you have typed in. Check carefully before submitting as corrections can only be made by email once this form is submitted - you cannot hit the "back" button to return to this form. Thank you!
*Visa/MC/Disc accepted*
Which summer camp(s) are you registering your child for?
  — when selecting more than one, please be sure there is not a date conflict
Session Dates/Ages Tier I/II/III Costs
Session 1 Sun. June 1 - Sat. June 7, ages 8 - 15 $595 $645 $695
Session 2 Sun. June 8 - Sat. June 14, ages 8 - 15 $595 $645 $695
Session 3* Sun. June 15 - Sat. June 28, ages 8 - 15
  *two week session
$1300 $1350 $1400
Session 3b** Sun. June 15 - Sat. Jun 21, ages 8 - 15
  **first week only of session 3
$595 $645 $695
Session 4 Sun. June 29 - Sat. July 5, ages 8 - 15 $595 $645 $695
Session 5 Sun. July 6 - Sat. July 12, ages 8 - 15 $595 $645 $695
Session 6 Sun. July 13 - Sat. July 19, ages 8 - 15 $595 $645 $695
Wilderness Camp Sun. July 6 - Sat. July 12, ages 12 - 15 $595 $645 $695
Not sure?
Click here to open a more complete explanation
of the Dates and Rates in a new window!

Note: LDP is not available for online registration; Apply here instead.
Which pricing tier are you choosing for the above selection(s)?
Tier I     Tier II     Tier III    
Camper's Information:

First

Middle

Last
Address line 1:
Address line 2:

City

State

Zip

Home Church

Home Church City

Date of Birth (MM/DD/YYYY)
/ /

Age at Camp

Male   Female
Camper's Email Address
Is your child a return camper?   No   Yes

Do you have a special request,
such as bunk mates?*  
*One request per camper. Campers must mutually request each other and must be no more than one year apart to be considered. We will make every attempt to accommodate your request.
Custodial Parent/Guardian Information:

First

Last

Relationship

Home phone
() -

Work phone
() -

Cell phone
() -

Email
Second Parent/Guardian Information:

First

Last

Relationship

Home phone
() -

Work phone
() -

Cell phone
() -

Email
Person responsible for Payment and Confirmation Information:

First

Last
Address line 1:

(if different from camper)
Address line 2:

City

State

Zip

Phone
() -

Payment Confirmation Email

(please re-enter email here even if same as custodial parent/guardian)
DEPOSIT REQUIRED (or option to pay full amount)
A $100.00 per-camper, per-session-reserved, non-refundable and non-transferable registration fee must be paid online after submitting these registration details. Or, you also have the option to pay the full amount.
Would you like to pay only the deposit, or the full amount for this registration?
Pay the $100 deposit only at checkout (next step)
Pay the full amount at checkout (next step)
Policies and Tshirt Selections
You are welcome to make partial payments until April 15, 2014, by check or credit card, directly to the Summer Camp Registrar reachable at (800) 460-4401 x250 or via the email address at the bottom of this form. The balance of the tuition must be paid in full by April 15, 2014. If registering after April 15th we ask that you please include payment in full.
Refund policy
Cancellations before three weeks of the assigned camp session will receive a full refund minus the $100.00 per-camper, per-session-reserved, non-refundable and non-transferable deposit. Cancellations within three weeks of the assigned session will forfeit the entire tuition fee unless the vacancy is filled by another camper. Cancellations due to medical or academic reasons will be at the discretion of the Director. Written verification from the Doctor or School will be required.
Tshirt Size:
Questions? Email us:
   ...or please call the Summer Camp Registrar at (800) 460-4401 x250

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