Please fill out the form below and provide the the necessary information to help us register your teenager for camp.
Name:
Gender:FemaleMale
Date of Birth:
Name of Parent or Guardian:
Parent or Guardian Address:
Child's Address: Same as above
If different from above, please enter address here:
Phone Number:
Payment Instructions
The Sign up process is not complete until payment is made. Follow the instuctions below to make a payment.
1. After you click the submit button, fill out the information on the page that appears next. Make sure to make your donation in the field labelled "other" and specify "Camp Payment" in the box beside it. See the illustration below. The cost of the camp is $250.00. Enter this amount in the field on the right.
Enter the numbers as they are shown in the image above