Register Online

Step 1

Enter Parent Info

Mother Info
Father Info

Mother Information

First Name

Last Name

Home Phone

Work Phone

Cell Phone

Address

City

State

Zip

Occupation

Parental Status

How did you hear about us?

Children live with:

Step 2

Enter Camper Info Enter camper information for each camper and desired session at camp. If a particular session does not appear to be available, it might be already filled. You are welcome to contact the camp office directly at 603-875-3600 to inquire about the wait list.

Camper 1
Camper 2
Camper 3
Camper 4
Camper 5

Camper 1

Camp

Session

First Name

Last Name

Date of Birth

Grade in School
as of Sept 10

E-mail

Cell

IM Address

Bunkmate Preference

Returning Camper?

Yes

Step 3

Read Release

By Making Application:

I agree to have my child examined by a physician, have immunizations current before entering camp, and complete a Health History and Examination Form before entering camp.

Christian Camps and Conferences, Inc. will endeavor to conduct safe programs, and to inform our families of inherent risks. We believe that young people seek adventure and that camp provides an ideal environment for exploring new activities in a prescribed and safe manner. However, some of the activities may involve risks that young people do not encounter every day. Examples in our camps include activities in and on the water such as swimming, sailing, skin diving, white water rafting, blobbing, and water skiing. Land activities may include rappelling, rock climbing, riflery, archery, paintballing, horseback riding, and activities in the facilities or on the trail where inclement weather may be involved, bicycling on public roads, travel in camp vans, and ropes or obstacle courses. Camp participants must also assume the infrequent but inescapable risks with such activities. Safety is an essential element of the activities we offer, and we observe standard precautions. We conduct our programs according to practices and procedures recommended by the American Camping Association. While we are aware that it is not possible to foresee every contingency nor to eliminate all risk, our risk management program includes specific criteria for staff selection, training and supervision, written safety policies and procedures, reporting and review of accidents and supervision will provide reasonable precautions for the safety and well-being of each participant.

Although our medical staff is trained and equipped to handle most routine medical conditions, we can not care for campers with special conditions, for example those requiring insulin. Parents should contact the Executive Director for further clarification on this issue if necessary.

I give my permission for my child to participate in the entire camp program including traveling in camp vehicles, and give permission for the camp to secure treatment for him/her in case of sickness or other emergency. I have read the 2010 General Information sheet and understand the expectations provided by the camp. I give my permission to use pictures in which my child as a camper may appear in camp brochures, flyers or other promotional literature both electronic or published and used by the camp.

I approve this application and agree to the terms stated. MY NON-REFUNDABLE REGISTRATION FEE (AFTER FEBRUARY 28, 2010) OF $100.00 FOR 1-WEEK, OR $200.00 FOR 2-WEEK CAMP, OR $400.00 FOR 4-WEEK CAMP, IS ENCLOSED. I understand that Christian Camps and Conferences, Inc. may not be able to accommodate changes in session attendance after February 28th due to space allocations for one-week, two-week and four week campers, and that tuition paid after April 15th is refundable only if the vacated space at camp is filled through the waiting list or newly registered campers. I acknowledge that I understand there are risks involved in the activities as described and I accept this risk as part of my child�s participation.

I agree to the terms and conditions.