VBS.png
Parent/Guardian Name *
Parent/Guardian Name
Address *
Address
Contact Phone 1 *
Contact Phone 1
Contact Phone 2
Contact Phone 2
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Alternate Pick Up Name *
Alternate Pick Up Name
Alternate Pick Up Phone *
Alternate Pick Up Phone
Anyone picking up your child MUST give this number in order for Camp Staff to release your
Participant Name (1) *
Participant Name (1)
My child requires: *
Please detail dates and times of Early & Late Care needed:
Birthdate of participant *
Birthdate of participant
Participant Name (2)
Participant Name (2)
My child requires:
Please detail dates and times for Early & Late Care needed:
Birthdate of participant
Birthdate of participant
Participant Name (3)
Participant Name (3)
My child requires:
Please detail dates and times for Early & Late Care needed:
Birthdate of participant
Birthdate of participant
Method of Payment: *
Please choose one of the following. Registration will not be guaranteed or confirmed until payment has been received. Failure to pay, gives CAMP CALVARY the permission to release your spots to other children. Please submit one payment for all children, all weeks of camp and all early care and late care.
Name on Credit Card
Name on Credit Card
$
Please memo names of children/weeks of camp/early & late care you are paying for:

We can not offer refunds or half weeks as our planning and purchasing happens months in advance.  We have already made our rates affordable on purpose, therefore we can not offer any form of discount or subsidy.