theCAMP 2019 is June 17th-21st, 9:00AM-1:00PM for ages 4-completed 5th grade.

Important camper information:

  • Breakfast and lunch will be provided each day.
  • If your child takes behavioral related medications, please continue these at home before theCAMP.
  • 4-5 year olds will only be dismissed to a parent or guardian.
  • Your child may be photographed making fun memories during theCAMP for a closing slideshow and possible PR.
  • For information about the program for completed 6th graders contact Melissa McCormick (
General Information
Camper's Name *
Camper's Name
Parent or Guardian's Name *
Parent or Guardian's Name
Parent/Guardian Address *
Parent/Guardian Address
Parent/Guardian Phone *
Parent/Guardian Phone
Is the parent or guardian volunteering during theCAMP? *
Camper's Date of Birth *
Camper's Date of Birth
Registration for children 3 and under can be found as part of the volunteer registration page
Please choose one
How did you hear about theCAMP?
(if applicable)
(name & phone number of individual other than parent/guardian listed above)
Does your child have any special needs?
Camper T-Shirt Size *
I understand that my child's SPOT MAY BE TAKEN if he or she does not check in the first or second day of theCAMP (June 18 & 19). I have read the entirety of this form and I give permission for my child to attend theCAMP. *

Priority will be given to children of our volunteers, residents of Young Terrace and Tidewater Park, and children of participating churches.