ONLINE CAMP REGISTRATION FORM

First Name :
Last Name :
Gender  


Mailing Address  
City  
State  
Zip Code  
Telephone  
Email Address  
Do you plan to use your own tent?   Yes  No
Are you a vegetarian?   Yes   No
    Single  Couple
Please note: If you are registering as a Single, you will be assigned a cabin with 3 other singles of the same sex. If you are a Couple, you will be assigned a cabin with another couple unless otherwise specified.
If you have preferred cabin partners please give names.  
Would you be willing to give a ride to another camper   Yes   No
Full Time Registration   Yes 
Part Time Registration   Yes  Dates I will Attend &
Total payment enclosed : $
Balance due : $
Do you want your name and telephone number appear on camp roster?   Yes   No
Please send us any comments you may have  
Please submit and proceed to make a payment online