Calvary Christian Camp Registration

• Your Name
  First Name

  Last Name
• Date of Birth
  MM

  /

  DD

  /

  YYYY
• Age
• Gender
  Male

  Female
• Camper (10-18)/Counselor (19 & older)
  Camper

  Counselor
• Which facility will you be staying in?
  Cabins (included in the registration fee)

  Adult Center ($35 per night w/ $35 camp registration fee, RSVP)

  Motor Home/Camper ($15 per night w/ $35 camp registration fee)
• Home Address
• City, State, Zip
• Phone
   

  (###)

  -

  ###

  -

  ####
• E-mail Address
• Church's Name
• Pastor
• Church Address
• City, State, Zip
• Church Phone
   

  (###)

  -

  ###

  -

  ####
• Have you read and understood the camp rules, including the dress code?
  Yes

  No
• Are there any health concerns, or medications that we should be aware of? If so, please explain.