HS Summer Camp 2017 Registration

Posted on May 26, 2017

Our annual Summer Camp will be at Eagle Creek, August 7 to 10. The cost of the retreat is $115. Please fill out the form below.

Please note that fields with a star (*) are required.

High Schooler

First Name

Last Name

Gender

Birth Date

Month

Day

Year

Grade/Class *

Grade in Fall 2017

Phone Number

Phone Type

Student Email *

Street Address

Street Address Line 2

City

State/Province

Postal Code

Parent/Guardian

First Name

Last Name

Email *

Relationship to High Schooler Relationship Type(s) *

Contribution Amount * $

Payment Processor *

Credit/Debit Card

Electronic Funds Transfer (EFT)

Leave this field blank

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