Summer Registration
You have three options to register:
1. Call us at 908-832-7264.
2. Print out
this form
and mail it with your check.
3. Fill out the information below:
* PLEASE NOTE REQUIRED FIELDS *
Camper Information
All fields in this section are REQUIRED
* Camper Name
(first & last)
* Parent/Guardian
* Phone
(enter the best numbers to reach
you, multiple separated by a comma)
* Email address
* Street Address
* Grade completed in the June
before camp
*City
*State
*Zip Code
* Camper's Birth Date & Age
* Home Church & City
Female
Male
All fields in this section are optional
Number of years here
Sibling(s) Attending
0
1
2
3
4
5
6+
If zero, who referred you?
Cabin friend request
(they must also request you)
Special needs/concerns
Please send me a
campership
application
Program & Payment Information
Program Choice 1st week
Dates for week 1
Price for week 1
Select One
Explorers
Water World
Discoverers
Woodlanders
Journeyers (Jr. High Adventure)
Girl Power
UN-Camp
Game On! All Sports Camp
Sr. High Gathering
Serve God, Serve Others, Serve the World
Staff In Training (SIT)
Select One
July 12- 17
July 19 - 24
July 26 - 31
August 9 - 14
August 16 - 21
Select One
$210
$396
$410
Price for week 2
Dates for week 2
Program Choice 2nd week
Select One
July 12 - 17
July 19- 24
July 26 - 31
August 9 - 14
August 16 - 21
Select One
$210
$396
$410
Select One
Explorers
Water World
Discoverers
Woodlanders
Journeyers (Jr. High Adventure)
Girl Power
UN-Camp
Game On! All Sports Camp
Sr. High Gathering
Serve God, Serve Others, Serve the World!
Staff In Training (SIT)
- $25
Sibling Discount
Referral's names
SPARK Discount 1
-$100
-$100
SPARK Discount 2
TOTAL DUE
Payment Method
Check
PayPal
