Camper Information - for the comfort & protection of your camper, please be complete.
(All entries marked with an astrick (*) are required.)

*First Name      *Middle Initial       *Last Name 

Nick Name or Preffered Name  

Address  City  State  Zip

Home Phone   *Family Email Address  

*Home Church

*Gender Male Female      *Birth Date      *Grade in September 2010

Dates - Fees - Deadlines

Select the camp your youth will attend.
Your camper should attend the session which is for the grade they will enter in the coming fall.

Gwinwood   
Kids Camp         Grades 2 and 3              July 7 - 10 (Wed-Sat)     $185     Due by June 23
Junior Camp       Grades 4, 5 and 6          July 6 - 10 (Tues-Sat)     $245     Due by June 22
Chi Rho Camp    Grades 7, 8 and 9          July 12 - 17 (Mon-Sat)    $285     Due by June 28
CYF Camp         Grades 10-12 & Grads    July 12 - 17 (Mon-Sat)    $285     Due by June 28
 
Zephyr   
Kids Camp         Grades 2 and 3              July 13 - 16 (Tues-Fri)    $185     Due by June 29
Junior Camp       Grades 4, 5 and 6          July 13 - 17 (Tues-Sat)   $245     Due by June 29
Chi Rho Camp    Grades 7, 8 and 9          July 19 - 24 (Mon-Sat)    $285     Due by July 6
CYF Camp         Grades 10-12 & Grads    July 19 - 24 (Mon-Sat)    $285     Due by July 6

Family Discounts
If you have three or more campers this year residing in the SAME household, subtract 15% from the fee above.
This discount cannot be combined with a Regional Scholarship.
$185 -15%= $157.25
$245 -15%= $208.25
$285 -15%= $242.25

Please enter the cost of your camp from the selection you made above.

*My Total Please make note of this number for the payment process.