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Summer Camp Online Registration
STOP!Please be aware that if you are submitting this registration later than the WEDNESDAY prior to your camp session, you will incur a $30 late fee if we are able to process your child's registration and space remains available. It will be added to your registration costs post-registration. You will not have to pay it to register today.

Welcome! To register online, you must pay at least the $50 NON-REFUNDABLE deposit. We do online registration through Paypal, but you DO NOT have to have or create a Paypal account to pay. Even without an account, you can pay using a credit card and it will be as any other online transaction would be. IF YOU WOULD LIKE TO TAKE ADVANTAGE OF OUR CREDIT CARD PAYMENT PLAN AND SPREAD YOUR PAYMENTS OUT OVER A FEW MONTHS, PLEASE JUST PAY THE $50 DEPOSIT AND INDICATE BELOW IN THE NOTES SECTION THAT YOU WOULD LIKE US TO CONTACT YOU TO SET UP A PAYMENT SCHEDULE FOR THE REMAINING AMOUNT.

           
First Name
Last Name
Age Gender Grade in 2011-2012
Home Church City
First Time Camper? If So Invited By?
First Choice Cabin Mate
Second Choice Cabin Mate
Parent/Guardian Info
Parent's Name
Mailing Address Apt #
City State
Zipcode
Home Phone #
(000-000-0000)
Cell Phone #
(000-000-0000)
Family Email
Shirt Size
How did you hear about us  Internet
 Playdate Ad
 Christian Examiner
 Friend
 Radio
 Our Brochure
 Other 
  
 Notes:
 
 
After making payment, please return to the summer camps page and submit a Medical Release Form, which CAN BE DONE ELECTRONICALLY.
 
A registration confirmation will be mailed to you. If you do not receive it in the mail within two weeks of the date you registered online, please contact us at (509) 672-4311 to verify we have received your registration.
 
 


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