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2024 Camper Application - Registration
Please enter information in the form below to register for
2024 Camper Application
.
Applicant’s Full Name:
*
Date of Birth
*
Age (at camp)
*
Name on name tag button if different from above (subject to approval)
Gender
*
--Select--
Male
Female
Address
*
City
*
State
*
Zip
*
Parent/Guardian Name
*
Home Phone
*
Cell Phone
Contact Email
*
Camper Email (if any)
Youth Shirt Size
*
S
M
L
Grade in Fall 2024
*
4
5
6
List ONE roommate preference in your grade level - use full name
Friend's Church
Payment Information
Amount
$
Payment Method
*
Paypal
Pay by Check
Credit Card Number
*
Expiration Date
*
01
02
03
04
05
06
07
08
09
10
11
12
/
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Card (CVV) Code
*
Card Holder Name
*
Home
About
Registration
Sparks Games Registration
T&T Bible Quiz Registration
T&T Games Registration
Trek Bible Quiz Registration
Trek Games Registration
Journey Bible Quiz Registration
Journey Games Registration
Camper Registration
Counselor Registration
Bible Quiz
Games
Camps
Calendar