Camper 1
Camper 1 Name*
Camper 1 Sex:*
Camper 1 Date of Birth*
Age on June 1st
Select a Camp*
Brookwoods for Boys Moose River Outpost
Select a Camp*
Brookwoods for Boys
Select a Camp*
Deer Run for Girls Moose River Outpost
Select a Camp*
Deer Run for Girls
Camp Session Camper 1 at Brookwoods*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21) Explorer Club 1 - Ages 8 - 9 (June 27 - July 3) Explorer Club 2 - Ages 8 - 9 (July 4 - July 10) Explorer Club 3 - Ages 8 - 9 (August 8 - August 14) Explorer Club 4 - Ages 8 - 9 (August 15 - August 21)
Camp Session Camper 1 at Deer Run*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21) Explorer Club 1 - Ages 8 - 9 (June 27 - July 3) Explorer Club 2 - Ages 8 - 9 (July 4 - July 10) Explorer Club 3 - Ages 8 - 9 (August 8 - August 14) Explorer Club 4 - Ages 8 - 9 (August 15 - August 21)
Camp Session Camper 1 at Moose River Outpost*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21)
Camp Session Camper 1 at Moose River Outpost*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21)
Camper 1 Current School
Camper 1 Current Grade in School*
Select Current Grade in School 2 3 4 5 6 7 8 9 10 11 12
Camper's Email
Campers will be housed at each camp according to ages and school grades if possible. You may request your child share a cabin with another child. Please request only one person since multiple choices will not always be feasible. Requests should be made from both parties to be honored. Please remember that cabinmate requests are not guaranteed. We will do our best to match all cabinmate request but final cabin assignments are not made until the day before camp starts. If you would like to request a cabinmate, please list their name below.
If your cabinmate request is for a potential new camper, we can send them information on your behalf. You will be given an opportunity to provide that information on this form.
Camper 1 Shirt Size
Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Month long campers receive a special 'Monther' T-shirt.
Camper 1 Registration Fee
Total
$0.00
Camper 2
Camper 2 Name*
Camper 2 Sex*
Camper 2 Date of Birth*
Age on June 1st
Select a Camp*
Brookwoods for Boys Moose River Outpost
Select a Camp*
Brookwoods for Boys
Select a Camp*
Deer Run for Girls Moose River Outpost
Select a Camp*
Deer Run for Girls
Camp Session Camper 2 at Brookwoods*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21) Explorer Club 1 - Ages 8 - 9 (June 27 - July 3) Explorer Club 2 - Ages 8 - 9 (July 4 - July 10) Explorer Club 3 - Ages 8 - 9 (August 8 - August 14) Explorer Club 4 - Ages 8 - 9 (August 15 - August 21)
Camp Session Camper 2 at Deer Run*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21) Explorer Club 1 - Ages 8 - 9 (June 27 - July 3) Explorer Club 2 - Ages 8 - 9 (July 4 - July 10) Explorer Club 3 - Ages 8 - 9 (August 8 - August 14) Explorer Club 4 - Ages 8 - 9 (August 15 - August 21)
Camp Session Camper 2 at Moose River Outpost*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21)
Camp Session Camper 2 at Moose River Outpost*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21)
Camper 2 Current School
Camper 2 Current Grade in School*
Select Current Grade in School 2 3 4 5 6 7 8 9 10 11 12
Camper's Email
Campers will be housed at each camp according to ages and school grades if possible. You may request your child share a cabin with another child. Please request only one person since multiple choices will not always be feasible. Requests should be made from both parties to be honored. Please remember that cabinmate requests are not guaranteed. We will do our best to match all cabinmate request but final cabin assignments are not made until the day before camp starts. If you would like to request a cabinmate, please list their name below.
If your cabinmate request is for a potential new camper, we can send them information on your behalf. You will be given an opportunity to provide that information on this form.
Camper 2 Shirt Size
Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Month long campers receive a special 'Monther' T-shirt.
Camper 2 Registration Fee
Total
$0.00
Camper 3
Camper 3 Name*
Camper 3 Sex*
Camper 3 Date of Birth*
Age on June 1st
Select a Camp*
Brookwoods for Boys Moose River Outpost
Select a Camp*
Brookwoods for Boys
Select a Camp*
Deer Run for Girls Moose River Outpost
Select a Camp*
Deer Run for Girls
Camp Session Camper 3 at Brookwoods*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21) Explorer Club 1 - Ages 8 - 9 (June 27 - July 3) Explorer Club 2 - Ages 8 - 9 (July 4 - July 10) Explorer Club 3 - Ages 8 - 9 (August 8 - August 14) Explorer Club 4 - Ages 8 - 9 (August 15 - August 21)
Camp Session Camper 3 at Deer Run*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21) Explorer Club 1 - Ages 8 - 9 (June 27 - July 3) Explorer Club 2 - Ages 8 - 9 (July 4 - July 10) Explorer Club 3 - Ages 8 - 9 (August 8 - August 14) Explorer Club 4 - Ages 8 - 9 (August 15 - August 21)
Camp Session Camper 3 at Moose River Outpost*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21)
Camp Session Camper 3 at Moose River Outpost*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21)
Child 3 Current School
Child 3 Current Grade in School*
Select Current Grade in School 2 3 4 5 6 7 8 9 10 11 12
Camper's Email
Campers will be housed at each camp according to ages and school grades if possible. You may request your child share a cabin with another child. Please request only one person since multiple choices will not always be feasible. Requests should be made from both parties to be honored. Please remember that cabinmate requests are not guaranteed. We will do our best to match all cabinmate request but final cabin assignments are not made until the day before camp starts. If you would like to request a cabinmate, please list their name below.
If your cabinmate request is for a potential new camper, we can send them information on your behalf. You will be given an opportunity to provide that information on this form.
Camper 3 Shirt Size
Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Month long campers receive a special 'Monther' T-shirt.
Camper 3 Registration Fee
Total
$0.00
Camper 4
Camper 4 Name*
Camper 4 Sex*
Camper 4 Date of Birth*
Age on June 1st
Select a Camp*
Brookwoods for Boys Moose River Outpost
Select a Camp*
Brookwoods for Boys
Select a Camp*
Deer Run for Girls Moose River Outpost
Select a Camp*
Deer Run for Girls
Camp Session Camper 4 at Brookwoods*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21) Explorer Club 1 - Ages 8 - 9 (June 27 - July 3) Explorer Club 2 - Ages 8 - 9 (July 4 - July 10) Explorer Club 3 - Ages 8 - 9 (August 8 - August 14) Explorer Club 4 - Ages 8 - 9 (August 15 - August 21)
Camp Session Camper 4 at Deer Run*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21) Explorer Club 1 - Ages 8 - 9 (June 27 - July 3) Explorer Club 2 - Ages 8 - 9 (July 4 - July 10) Explorer Club 3 - Ages 8 - 9 (August 8 - August 14) Explorer Club 4 - Ages 8 - 9 (August 15 - August 21)
Camp Session Camper 4 at Moose River Outpost*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21)
Camp Session Camper 4 at Moose River Outpost*
Select a Session 1st Month (June 27 to July 24) 2nd Month (July 25 - August 21) 1st Two Weeks (June 27 to July 10) 2nd Two Weeks (July 11 to July 24) 3rd Two Weeks (July 25 - August 7) 4th Two Weeks (August 8 - August 21)
Camper 4 Current School
Camper 4 Current Grade in School*
Select Current Grade in School 2 3 4 5 6 7 8 9 10 11 12
Camper's Email
Campers will be housed at each camp according to ages and school grades if possible. You may request your child share a cabin with another child. Please request only one person since multiple choices will not always be feasible. Requests should be made from both parties to be honored. Please remember that cabinmate requests are not guaranteed. We will do our best to match all cabinmate request but final cabin assignments are not made until the day before camp starts. If you would like to request a cabinmate, please list their name below.
If your cabinmate request is for a potential new camper, we can send them information on your behalf. You will be given an opportunity to provide that information on this form.
Camper 4 Shirt Size
Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Month long campers receive a special 'Monther' T-shirt.
Camper 4 Registration Fee
Total
$0.00
Parent/Guardian Info
Guardian 1
Guardian 1 Name*
Mr. Mrs. Miss Ms. Dr. Prof. Rev.
Prefix
First
Initial
Last
Guardian 1 Occupation
Guardian 1 Email*
Guardian 1 Address
Guardian 1 Cell Phone*
Guardian 1 Cell Phone*
Guardian 1 Work Phone
Guardian 1 Home Phone
Guardian 2
Guardian 2 Name
Mr. Mrs. Miss Ms. Dr. Prof. Rev.
Prefix
First
Initial
Last
Guardian 2 Occupation
Guardian 2 Email
Multiple Addresses
Guardian 2 Address
Guardian 2 Cell Phone
Guardian 2 Cell Phone
Guardian 2 Work Phone
Guardian 2 Home Phone
How would you like for us to put your names on the top of any correspondence?
Do you currently attend church? If yes, where?
Parent Status
Married Separated Divorced Widowed
Custody
Mother Father
Camper lives with ...
Mother Father
Are there any custody issues we should know about
If there is a step-parent, please provide details:
Do you currently expect to have your camper(s) fly to camp and be picked up at the airport by camp transportation?*
Camp is all about relationships
Please tell us how you FIRST heard about camp.*
We are Alumni From a Friend/Family From an Internet Search From a Camp Fair House Visit Camp Event Mailing Other
What was the "other" source of how you FIRST heard about camp?*
Please let his know the "other" source of how you first hear about camp.
We LOVE connecting with Alumni! If you have not been connected at camp in a several years, help us update our Alumni Database with the camp you attended, the years [if you can remember] and if you have changed your name since you were a camper!
Alumni Information
Please provide us the name of your friend or family member that told you about camp
Would you like to be part of the camp network? If so, we would like to add you as a friend. Please provide your Facebook, Twitter, Instagram or other social media information below.
Would you like to send information about camp to a friend? If you refer a friend and fill out our referral form, you will receive a $100 referral bonus after they attend camp!
No Yes
We would be happy to send a New Information Package about camp to your child's friends.
Name (of the camper you are referring)
Parent's Name
Phone
Address
Agreement of Camp Terms
By Making Application:
I agree to have my child examined by a physician, have immunizations current before entering camp, and complete a Health History and Examination Form before entering camp.
Christian Camps and Conferences, Inc. will endeavor to conduct safe programs, and to inform our families of inherent risks. We believe that young people seek adventure and that camp provides an ideal environment for exploring new activities in a prescribed and safe manner. However, some of the activities may involve risks that young people do not encounter every day. Examples in our camps include activities in and on the water such as swimming, sailing, skin diving, white water rafting, blobbing, and water skiing. Land activities may include rappelling, rock climbing, riflery, archery, paintballing, horseback riding, and activities in the facilities or on the trail where inclement weather may be involved, bicycling on public roads, travel in camp vans, and ropes or obstacle courses. Camp participants must also assume the infrequent but inescapable risks with such activities. Safety is an essential element of the activities we offer, and we observe standard precautions. We conduct our programs according to practices and procedures recommended by the American Camping Association. While we are aware that it is not possible to foresee every contingency nor to eliminate all risk, our risk management program includes specific criteria for staff selection, training and supervision, written safety policies and procedures, reporting and review of accidents and supervision will provide reasonable precautions for the safety and well-being of each participant.
Although our medical staff is trained and equipped to handle most routine medical conditions, we can not care for campers with special conditions, for example those requiring insulin. Parents should contact the Executive Director for further clarification on this issue if necessary.
I give my permission for my child to participate in the entire camp program including traveling in camp vehicles, and give permission for the camp to secure treatment for him/her in case of sickness or other emergency. I have read the 2027 General Information sheet and understand the expectations provided by the camp. I will support the camps’ efforts to comply with all of its camp policies including those required by governmental authorities. I give my permission to use pictures in which my child as a camper may appear in camp brochures, flyers or other promotional literature both electronic or published and used by the camp. I give my permission for my camper to be included in the Camper Contact Sheet given to cabin mates at the end of the camp session.
I approve this application and agree to the terms stated. MY NON-REFUNDABLE REGISTRATION FEE (AFTER FEBRUARY 28, 2027 OF $200.00 FOR 1-WEEK, OR $400.00 FOR 2-WEEK CAMP OR 4-WEEK CAMP, IS ENCLOSED. I understand that Christian Camps and Conferences, Inc. may not be able to accommodate changes in session attendance after February 28th due to space allocations for one-week, two-week and four-week campers. Tuition paid after the due date of April 15th is refundable only if the vacated space at camp is filled through the waiting list or newly registered campers. I acknowledge that I understand there are risks involved in the activities as described and I accept this risk as part of my child’s participation.
I agree with the specificed conditions listed above.*
Registration fee is required at the time of registration.
$400 registration fee for 2 and 4 weeks is required
$200 registration fee for Explorer Club
Camper 1 Registration Fee
Camper 2 Registration Fee
Camper 3 Registration Fee
Camper 4 Registration Fee
Total Registration Fee
$0.00
Sometimes grandparents or others will pay for camp registrations. If someone else paying for this camp registration, or is this registration part of a gift or reward? If so, please let us know any important details below.
Billing Address (must match Credit Card Statement Address)*
Email to send receipt
Credit Card
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