2027 Registration – no deposit

Prepaid Registration Enrollment

Parent/Guardian Info
Guardian 1
- Mother
- Father
Guardian 1 Name*

Prefix

First

Initial

Last
Guardian 1 Occupation
Guardian 1 Email*
Guardian 1 Cell Phone*
Guardian 1 Work Phone
Guardian 1 Home Phone
Guardian 1 Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Guardian 2
- Mother
- Father
Guardian 2 Name

Prefix

First

Initial

Last
Guardian 2 Occupation
Guardian 2 Email
Guardian 2 Cell Phone
Guardian 2 Work Phone
Guardian 2 Home Phone
Multiple Addresses
- Same as Guardian 1
Guardian 2 Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
How would you like for us to put your names on the top of any correspondence?
Do you attend a church? If yes, which?
Parent Status
Custody
Camper lives with ...
Are there any custody issues we should know about
If there is a step-parent, please provide details:

Camp is all about relationships
Please tell us how you FIRST heard about camp.*
What was the "other" source of how you FIRST heard about camp?*

Please let his know the "other" source of how you first hear about camp.
We LOVE connecting with Alumni! If you have not been connected at camp in a several years, help us update our Alumni Database with the camp you attended, the years [if you can remember] and if you have changed your name since you were a camper!

Alumni Information
Please provide us the name of your friend or family member that told you about camp
Would you like to be part of the camp network? If so, we would like to add you as a friend. Please provide your Facebook, Twitter, Instagram or other social media information below.
Would you like to send information about camp to a friend? If you refer a friend and fill out our referral form, you will receive a $100 referral bonus after they attend camp!

We would be happy to send a New Information Package about camp to your child's friends.
Name (of the camper you are referring)

First

Last
Parent's Name

First

Last
Phone
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Agreement of Camp Terms

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 2027 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, 2027 OF $200.00 FOR 1-WEEK, OR $400.00 FOR 2-WEEK CAMP OR 4-WEEK CAMP, IS ENCLOSED. I understand that Christian Camps and Conferences, Inc. may not be able to accommodate changes in session attendance after Saturday, February 28th due to space allocations for one-week, two-week and four-week campers. Tuition paid after the due date of 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 with the specificed conditions listed above.*
- Yes
Email to send confirmation

2027 Registration – no deposit

Prepaid Registration Enrollment

Camper 1

Camper 2

Camper 3

Parent/Guardian Info

Camp is all about relationships

Agreement of Camp Terms