Summer Registration

*********PLEASE COMPLETE REQUIRED FIELDS*********

Note: Online registration is not available for Family Camp. Please call 908-832-7264 and we can register you over the phone.
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 June before camp
*City
*State
*Zip Code
* Camper's Birth Date & Age
* Home Church & City
All fields in this section are optional
Number of years here
Sibling(s) Attending
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
Price for week 2
Dates for week 2
Program Choice 2nd week
+ $150
Two-Week Option
- $25
Referral's names
Sibling Discount
- $100
SPARK Discount 1
- $100
SPARK Discount 2
TOTAL DUE
Payment Method
Check
PayPal
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