Registration for Grad Camp

Registrant Information

First Name:
Last Name:
Gender:
Hs Grad Yr:
Birthdate: --
Any Health, Dietary or other concerns the Director should be aware of?
Comments:

Contact Information

Address:
City:
State (e.g. IA, MO, IL):
Zip:
Email:
Phone: --
Other Phone: --

Payment Options

I am paying my registration in full at this time. I have indicated the desired t-shirt size below.
I cannot pay my registration in full at this time. (Partial payment at this time is optional, but encouraged.) I know I am not eligible to get a free t-shirt.
I am including this much at this time, and will pay the remainder at camp. $

T-shirt Options

I would like to buy a T-Shirt at camp. (Additional cost paid at camp - please indicate size below)
I do not wish to reserve a T-Shirt at this time. (A few extras may be available at camp, first come first serve.)
T-shirt Size:

In the event that a participant cannot attend Youth Ministry Council events, camp fees will be refunded in full.
Financial assistance is available to all participants. No participant shall be turned away due to lack of funds. Contact the director of this camp for more infomation.