Camper Application

Camper Application 2025

Fields marked with an * are required

General Information

Select Session *

Middle School Session (entering 5th-7th grades) - July 6-12, 2025 ($150)
Jr. High School Session (entering 7th-9th grades) - July 13-19, 2025 ($150)

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First Name *

Last Name *

Email *

Confirm Email *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Alternate Phone

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Birth Month *

Birth Day *

Birth Year *

School Grade in Fall 2025 *

Gender *

Home Church *

I would like to be in a cabin with:

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Do you want to purchase a camp t-shirt for $10?

Billing Address