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2010 Camp Registration

 

Early Bird Discount - $25 discount with $50 camp fee deposit before April 1, 2010
Summer Camps 2010
Registration & Medical Treatment Form. Please complete a separate form for each camper.
Email
Name of Camper
Birthday
Gender
Camper's Email Address
Grade Completed
High School Graduation Year
Address, City State Zip
Home Phone #
Church
Church City
Father's Name
Father's Home #
Father's Work or Cell #
Mother's Name
Mother's Home #
Mother's Work or Cell #
Emergency Contact
Relationship
Emergency Contact Home #
Emergency Contact Alt. #
Medical History including Allergies and Current Medication
Last Tetanus Shot
Insurance Company Name
Group #
Contract #
In which parent's name
Please share any information (emotional or physical) which might help the staff understand and serve your child. Please describe
Has your child stayed overnight with persons other than immediate or extended family?
Has your child attended camp before?
If yes, Where?
What type of camp?
Who lives at home with the child?
Camp Attending





Cabinmate request (We will attempt to honor one request)
T-Shirt Size







Submit
Thank you! You will receive a form to sign and mail in with your payment. Your reservation is not confirmed until we receive payment.
 
senior highs working outside
 
Downloadable Form
2010 Camp Fees

Camp

Grades Completed

Fee

Sr. High

9 - 12

$295   

Elementary

2 - 5

$295   

Jr. High

6 - 8

$295   

 Strum/Drum/
Thumb

6 - 10

 $235
Off to College 11 - 12
 $115
Discovery 3 - 6
 $115
Parent/Child 5K - 2
 $125**

 Early Bird Discount $25 if registration and $50 camp fee deposit is received before April 1, 2010

**$125 for 1parent/1child. +$50 ea. additional child
   Copyright (c) 2010 Presbytery of Sheppards and Lapsley