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2012 Cedarbrook Camp™ of Ohio Online 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 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.

Do not use this form to register for Mother-Daughter Mini Camps.

Camp Fee: $220
(For registrations postmarked between April 1st and May 31st.
This cost includes the Registration Deposit.)

Early-Bird Discount: $20 off Camp Fee (For registrations postmarked no later than March 31st: Camp Fee=$200.)

Late Fee: $30
(For registrations postmarked after May 31st: Camp Fee=$250.)

Registration Deposit: $100 per child for each week attending
(The Registration Deposit is the first $100 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:
Number of Years at Stony Glen: 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:


Summer 2011 Options
Cabin mate preference
(not guaranteed):		 Cabin mate grade in fall:

Check which week(s) you are applying for:

Week 1 (July 15-21)

Please select one option for Week 1

Regular Camper
CILT 2 (must also sign up for week 2)
CILT 3 (must also sign up for week 2 and precamp training)
Week 2 (July 22-28)

Please check one option for Week 2

Regular Camper
Outpost (girls entering grades 10-12)
CILT 1 (must also sign up for week 3; CILT 1 Girls will also be on Outpost)
CILT 2 (must also sign up for week 1)
CILT 3 (must also sign up for week 2 and precamp training)
Week 3 (July 29 - Aug 4)

Please check one option for Week 3

Regular Camper
BOYS CILT 1-3 (must also sign up for week 4)
CILT 1 (GIRLS must also sign up for week 2 and BOYS must also sign up for week 4)
Week 4 (August 5-11)

Please check one option for Week 4

Regular Camper
BOYS CILT 1-3 (must also sign up for week 3)

Pre-Camp Training (July 11-14) — REQUIRED for CILT 3 BOYS & GIRLS (no additional cost)

  Horsemanship Classes Horses Week 1 ($45 fee must accompany the registration deposit)
Horses Week 2 ($45 fee must accompany the registration deposit)
Horses Week 3 ($45 fee must accompany the registration deposit)
Horses Week 4 ($45 fee must accompany the registration deposit)

 

You have permission for my child to attend camp, 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 $100/week to cover my child’s non-refundable registration deposit. 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:

Elizabeth Wilsey
1157 Belrose Road
Mayfield Heights, OH 44124

 

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.