Register for Camp
Fields marked with (*) indicate required information. |
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Select A Camp
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| Camper Name and Address |
| *Name |
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*State/Province |
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| *Street Address |
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*Zip/Postal Code |
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| Address (cont.) |
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Email |
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| *City |
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| Age, Gender & Other Information |
| *Age |
*Date of Birth |
*Gender Male Female |
| *What grade will you be entering this fall? |
*Have you attended camp before? |
One friend I'd like to camp with (your name must appear on his/her registration as well).
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| Parent(s) Name |
| *Name |
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*Work |
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| *Home Phone |
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Email |
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| Other Emergency Contact (Other parent or grandparent, etc.) |
| Name |
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State/Province |
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| Street Address |
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Zip/Postal Code |
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| Address (cont.) |
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Work Phone |
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| City |
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Home Phone |
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| Church |
| Name |
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Pastor |
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| Other Comments |
| Please indicate any special needs or instructions here. |
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(Also, if you would like to participate in "Bring a friend for Free," please tell us the name of your friend & whether that person is the paid camper or free camper.) |
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| *Discounts (Week long camps only) |
| Check if applicable. |
$15.00 Family Discount (first child pays the full fee, and all other full week camps will receive a $15.00 discount) |
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| *Scholarship |
| Scholarships are available to anyone and can be applied for in any amount. If you choose 'yes' please fill in the amount needed. (Tell me more about scholarships) |
| Yes , I would like to apply for a scholarship. |
No, thank you. |
| $ |
Amount |
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| T-Shirt Size |
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*Choose
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To insure a safe, fun-filled growth experience for myself and my fellow campers I pledge to respect the guidance of my counselors and UMM staff and honor my camp's policies.
Camper's electronic signature: |
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