Camp Tuition: $60.00 Includes lodging, meals, camper insurance and educational materials for camp. Remember, there is a $10 late fee to be applied if registration is not received by May 25 for Teen Camp, or by July 5 for Pre-Teen Camp. Children 7 years & under must be accompanied by a parent or guardian and their tuition is $8.00.

This form is only to be used by individuals not coming with any church group and therefore you will need to provide your own sponsor. Please be certain to include your sponsor's name below.

GROUP ONE: Greater Springfield, Indian Creek, Central, Western, Mission, Cave Springs, Liberty, Niangua, Laclede, Mo-Ark
GROUP TWO: Greater Kansas City, Mid Rivers, Northwest, Northeast, South Central, St. Louis, St. Francois, Bootheel

Please note that field with * are required. All campers must have a sponsor. Male campers should have a male sponsor, and female campers should have a female sponsor.
Group: Group I Teens June 8-13
Group I Preteens Aug 3-8
Group II Teen June 15-20
Group II Preteen July 27-Aug 1
Church Name:
City:
Pastor's Name:
Sponsor's Name: *
Camper's First:
Camper's Last:
Sex:
Age:
Phone:
Address:
City:
State:
Zip:
Mailing Address (If Different From Above):
City:
State:
Zip:
Parent/ Guardian:
Home Phone (If Different From Above):
Work Phone:
Cell Phone:
E-mail: *
Prefered Method Of Emergency Contact:
Do you want a shirt? *
If yes, size: