Teen Summer Camp Registration

  • We are excited to see you at camp!  Because of the information that needs to be gathered only individual registration is being offered online.  All online registrations will include a $2 processing free.

    Please be sure to continue until you see a screen that thanks you for registering.


    Camper’s Name

    Parent/Guardian of Camper

    Camper’s Gender

    Camper’s Age

    Registration Type

    Phone Number

    Mailing Address

    Email

    Allergies, Medications & Other Important Information ?

    Please list any allergies (food or drug) and please list any medications and how they should be administered. Additionally, please include any other important information.

    Card Number

    Name on Card

    Expiration Date

    Security Code
    ?

    This is usually a 3-4 digit number found on the back of the card.

    Billing Zip Code for Card

    Email for eReceipt
    ?

    This email will only be used for purposes of sending an eReceipt for this transaction.

    Phone Number for Card Holder
    ?

    This is only to be used if we need to contact you regarding this transaction.