Youth Camp 2024

In addition to completing this registration, the following documents must be completed for each registrant to participate in camp:

*These documents can be returned at our Camper & Parent Info Meeting (meeting date is TBD)

Registration Options (select one)

General Registration

Camper Registration ($249.00)

Would you like to scholarship a camper? (FULL or PARTIAL)

Suggested Amounts

$249
Other

Camper Name

Gender

Male
Female

Age

Date of Birth

Grade

T-Shirt Size

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Parent/Guardian 1 Name

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Parent/Guardian 2 Name

Phone Number

Emergency Contact Name

Emergency Phone Number

Relationship to Camper

Running Total

$0.00

Coupon Code

Total

$0.00

BILLING INFORMATION

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Phone Number

This page is secured with 256 bit encryption

Event Registration Software by RegFox

SUMMER CAMP 2024

July 19-22

Lake Williamson Christian Center - Carlinville, IL

Registration Options (select one)

CAMPER INFORMATION

PARENT/GUARDIAN INFORMATION

BILLING INFORMATION