Camp "I AM" Registration Has Closed InstagramThis field is for validation purposes and should be left unchanged.Camper's Name: First Last Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (home):Birthdate: Gender: Male Female Grade for 8/2025 - 5/2026:Camper's Shirt Size:I am registering a: Junior Camper (1st - 3rd Grade) Senior Camper (4th - 6th Grade) Father's Name: First Last Mother's Name: First Last Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's Phone Number (Work):Father's Phone Number (Cell):Mother's Phone Number (Work):Mother's Phone Number (Cell):Email Address: Sponsoring Church:Is Camper a Christian? Yes No Not Sure Special interest/talents:Any allergies or medical concerns:Does camper have a brother or sister at camp?Cabin room mate request:Please give any information you feel will help us understand and serve the camper better:Additional comments to the director:Skill Program Selections:Our goal is to provide each camper the skill selection of his/her choice, to ensure that your child chooses "wisely" (selections you as the parent approve of and feel he/she can handle), we would like your help in choosing from the info sheet. PLEASE LIST IN THE ORDER OF PREFERENCE. Scheduling is done on a "first come first serve" basis. Add RemoveAdditional Campers Camper's Name: Birthdate: Gender: Grade for 8/2025 - 5/2026: Camper's Shirt Size: Total Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. If you would like to volunteer your talents and time to help with camp, please include your name and phone number on the following line and someone from camp staff will call you:PLEASE REMEMBER: THIS IS A ONE NIGHT CAMP! NEW THIS YEAR...WE ONLY HAVE ONE (1) NIGHT OF CAMP "I AM" JUNIOR - Sunday, July 19 - Monday, July 20, 2026.**Early registration ($25): March 1st - April 30th. Final registration ($30): May 1st - June 30th. The first 20 boys / 20 girls up to June 30th will be scheduled; others will be put on a waiting list in case we get an opening. Payments can be made online or mailed. [Please note: NO refunds will be given past April 30th.]**Early registration ($150): March 1st - April 30th. Final registration ($175): May 1st - June 30th. The first 50 boys / 50 girls up to June 30th will be scheduled; others will be put on a waiting list in case we get an opening. Payments can be made online or mailed. [Please note: NO refunds will be given past April 30th.]I would like to pay: In person (by cash or check) Online SignatureYour NameYour NameYour NameYour NameDate How many Junior Campers are you registering? Quantity Price: $30.00 Quantity How many Senior Campers are you registering? Quantity Price: $175.00 Quantity Total
