Registration process


IMPORTANT! Once you start the registration form please do NOT refresh this page or do NOT click the Back button of your browser!
NOTE: Your registration is not complete. You will receive a confirmation e-mail once you complete the payment process.
*** All payments must be made in full. If you cancel before July 10th, you will receive a full refund minus . However the registration fee can be transferred to another person at any time.
* First Name :
* Last Name :
* Email Address :
* Address :
* City :
* State :
* Zip Code :
* Phone Number :
* Gender :
* Date of Birth :
* Name of Church :
* T-shirt Size (adult sizes) :
* Emergency Contact (name) :
* Emergency Contact (phone) :
* Allergies (if none, type “none”) :
* Medical Conditions (if none, type “none”) :
* I have read and agree to follow all camp rules :
* I hereby waive and release all claims for injuries I may sustain arising out of Camp Open Heaven activities :
* I hereby authorize the Camp Open Heaven staff or camp nurse to make emergency medical decisions for me :
Comments :
 
* = required fields