DISCOUNTED Junior Camp - Registration

June 14 - July 16, 2021 | Full payment is due. See website for refund policies.

Information

Church Full Name (First Name) Church City, St (Last Name)

Church's Address

Contact Name

Contact Email

This address will receive a confirmation email

Contact Phone

Choose Week

Choose which week you will be attending.

Please select one option.

Jr. Week I (June 14-18) Jr. Week II (June 21-25) Jr. Week III (July 12-16)

Payment

Select number of campers
Supporting - $165/camper
Non-Supporting - $185/camper

Supporting Church

0 ($0) 1 ($165) 2 ($330) 3 ($495) 4 ($660) 5 ($825) 6 ($990) 7 ($1155) 8 ($1320) 9 ($1485) 10 ($1650) 11 ($1815) 12 ($1980) 13 ($2145) 14 ($2310) 15 ($2475) 16 ($2640) 17 ($2805) 18 ($2970) 19 ($3135) 20 ($3300) Custom

Amount

Non-Supporting Church

0 ($0) 1 ($185) 2 ($370) 3 ($555) 4 ($740) 5 ($925) 6 ($1110) 7 ($1295) 8 ($1480) 9 ($1665) 10 ($1850) 11 ($2035) 12 ($2220) 13 ($2405) 14 ($2590) 15 ($2775) 16 ($2960) 17 ($3145) 18 ($3330) 19 ($3515) 20 ($3700) Custom

Amount

List Camper Names

Enter Male Campers' First and Last names.

(i.e. John Smith, Jack Doe) or NA

Enter Female Camper's First and Last names.

(i.e. Jane Doe, Sally Smith) or NA

Sponsor Information

This section is for "Sponsors" that are staying on Campus during the week. Sponsors must be 18 or older, and will be the primary contact for the week. Each sponsor must fill out the following form.
Please limit sponsors to necessary attendance.
Sponsor - $100/per

Number of Sponsors

0 ($0) 1 ($100) 2 ($200) 3 ($300) 4 ($400)

Amount

#1 Sponsor's Full Name

Check All That Apply

Please select all that apply.

Single Married Male Female Staying with campers Requesting Sponsor Lodging Staying off campus

#2 Sponsor's Full Name

Check All That Apply

Please select all that apply.

Single Married Male Female Staying with campers Requesting Sponsor Lodging Staying off campus

#3 Sponsor's Full Name

Check All That Apply

Please select all that apply.

Single Married Male Female Staying with campers Requesting Sponsor Lodging Staying off campus

#4 Sponsor's Full Name

Check All That Apply

Please select all that apply.

Single Married Male Female Staying with campers Requesting Sponsor Lodging Staying off campus

Description

June 14 - July 16, 2021

Full payment is due. See website for refund policies.

DISCOUNTED Junior Camp - Registration

Description

Please Fix the Following