Camper Registration

Registration Options

Day Camp ($100.00) [92 remaining]
Grades 1-3 in the 2024-2025 school year
Kids Camp ($525.00) [119 remaining]
Grades 4-6 in the 2024-2025 school year
Middle School Ignite ($675.00) [108 remaining]
Grades 6-8 in the 2024-2025 school year
High School Ignite ($675.00) [116 remaining]
Grade 9 - Graduating Senior in the 2024-2025 school year

Camper Name

Date of Birth

T-Shirt Size

What grade will your child be in the Fall of 2024?

What school will your child be attending in the Fall of 2024?

Preferred Group Leader:

Name of preferred small group friends:

Which Central location do you attend?

Which weekend experience do you normally attend (time)?

While at camp, is there anyone restricted from seeing your student? If yes, what is their name?

Is your student covered by health insurance?

Does your student have a gluten free diet?

Does your student have any food, drug, or environmental allergies?

Does your student take any prescription or over the counter medications or treatments?

Does your student have any physical, emotional, mental, or medical conditions? Including ADHD or Autism?

Parent/Guardian Name

Mobile Phone Number

Address

Emergency Contact (other than guardian above)

Emergency Contact Number

Relationship to student(s):

Running Total

$0.00

Apply Code

We believe that every kid and student deserves the opportunity to experience the magic of camp and the life-change that God can bring during this time, regardless of financial circumstances. Your generosity can make a difference in the lives of kids and youth who may not have the means to attend. Every little bit helps! Consider making a donation above and beyond your camper's camp costs to help sponsor others and give them the gift of unforgettable memories and life-changing experiences. We sincerely appreciate your support and commitment to making camp a possibility for all kids and students.

Suggested Amounts

$100
$200
$500
Other

Cash or Check Code (to be entered in by Central Staff if you are paying in person with Cash or Check):

Total

$0.00

Day Camp (1st-3rd Grade)

June 18th - 20th, 2024

Kids Camp (4th-6th Grade)

May 28th - June 1st, 2024

Middle School Ignite (6th-8th Grade)

June 10th - 14th, 2024

High School Ignite (9th Grade - Class of 2024)

June 10th - 14th, 2024

Register Today!

CAMPER REGISTRATION

Camper Registration

PARENT / GUARDIAN INFORMATION

BILLING INFORMATION