Youth Camp Registration
Student's Name (First Last)
*
Address
*
City, State, Zip
*
Phone (xxx-xxx-xxxx)
*
Grade completed
*
7
8
9
10
11
12
Gender
*
Male
Female
Roommate Preference (same grade): Preferences not guaranteed. Please list up to 3 names or "NP" if no preference.
*
Parent/Guardian Names
*
Your Email Address
*
T-shirt Size
*
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Online payment of Deposit: $20.00 (if your student DID work the Thanksgiving or Christmas Banquets) $50.00 (if your student DID NOT work the Thanksgiving or Christmas Banquets). No other camp payments are required.
Amount enclosed
*
$
Please type
in the box to the right »
*
Total
$
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