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2013 Cedarbrook Camp™ of Ohio

Online "Spring into Cedarbrook" Camper Registration Form

You must provide a valid email address for us to contact you!

 

Complete one registration form for each child. You will have to return to the registration page and click on the "Spring into Cedarbrook" online registration link again to begin a new registration for each additional camper. If you wish, you may make one PayPal payment; just be sure to enter the correct amount for all your registrations.

Registration Deadline is April 1, 2013.

Camp Fee: $65

Registration Deposit: $30 per child
(The Registration Deposit is the first $30 of each camper's Camp Fee and is not in addition to the Camp Fee. The Registration Deposit must accompany each camper's registration and is non-refundable. Your child is not considered registered without receipt of the Registration Deposit.)

You must enter a valid email address for us to process your registration(s).

You will receive a confirmation packet in the mail.

 

Personal Information
Camper Name: Age:
Birthday: Grade in Fall:
    Gender: Boy Girl

Name of parent/guardian: Home Address:
Home Phone: City:
Cell Phone: State:
Work Phone: Zip:

Parent Email: Camper Email*:

Church you attend: Church City:
Church State: Church Zip:


You have permission for my child to attend the "Spring into Cedarbook" weekend, participate in all camp activities, and receive emergency treatment if necessary. My child may be photographed and/or videotaped (unless otherwise indicated below) and pictures and/or video may be used for promotion and publication. I hereby release Cedarbrook Camp from any responsibility for injuries my child may sustain during his/her time at camp.

Please do not photograph or videotape my child.
*Please do not contact my child via email.


Payment and Signature

I am including a PayPal payment for $30 to cover my child's non-refundable registration deposit, or $60 to cover the entire registration fee. Please include a $2.50 PayPal fee.

Yes — The name on the credit card is:

No — I will mail a check to the Registrar

Please make check payable to: Cedarbrook Camp of Ohio

Mail to:

Ingrid Stillman
1104 Wilbur Ave
Norton, OH 44203

 

Signature:

 

Cedarbrook Camp of Ohio is accredited by the American Camp Association, and is a member of the Association of Cedarbrook Camps and the Christian Camp and Conference Association.