On-Line Registration Form
Directions for Online Registration:
1.  Fill out the form below and click "Submit"  (Only one entry per person please)
2.  Campers use PayPal button to submit payment  ( If you have trouble with PayPal, you can come back to this
page and simply choose the PayPal button to try again.  No need to fill out form again)
3.  If you register online, you must bring a signed Registration Form and a signed Release of
Liability form with you to camp
Name of Camper:
Email address:
Pastor's Name:
Parent/Guardian Name:
Parent/Guardian Phone:
Are you using PayPal or mailing check?
PayPal
 Check
 Age

If sending a check, please include names along with payment.