Teen Camp (6th - 12th Grade)

June 9th - 15th

Junior Camp (1st - 5th Grade)

June 30th - July 5th

Register Online

Registration 2

Select

Name

First Name

Last Name

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthdate

YYYY

Sex

Current Grade Enrolled In

Home Phone

(###)

###

####

Parent / Guardian Name

First Name

Last Name

Parent / Guardian Email

Please list any physical limitations

Cabin Mates Requested

Up to two names and must be within the same Camp Program

Persons authorized to check camper out from camp

W0L Policy requires that a parent, guardian, youth leader, or other adult designated by the parent, be able to readily withdraw the camper from camp within 24 hours of notification should the need arise. In the event of a medical emergency, disciplinary situation, or other circumstance, who can travel to the camp property and take custody of the child within 24 hours of notification? Account Holder - Dustin Zerwas Account Holder Phone - 727-207-3660

Choice 1

First Name

Last Name

Choice 1 Phone

(###)

###

####

Choice 2

First Name

Last Name

Choice 2 Phone

(###)

###

####

Special Notice:

The $75 camp cost is non-refundable and non-transferable. If a camper needs to cancel, their spot will be given to the next person on the waiting list. By signing your name below you are acknowledging that you have read the special notice above and that you understand and agree to the terms: there are no refunds, and camper spots are non-transferable.