Camp Kinawind Pictured Rocks Backpack

*First Name
*Last Name
*Email
*Grade in Fall 2012
*Gender
Female
Male
*Date of Birth Month, Day, Year
*Address
*City
*State
*Zip Code
*Home Phone Please include area code
Daytime Phone Please include area code
*Parent/Guardian Name
Bunk Buddy
Local Church Please provide church name and city
Pastor's Name
I would like to learn more about an area United Methodist Church If you don't have a church home, we would be happy to send you information about a United Methodist Church near you.
Donation to the Campership Fund (0ptional) Please consider a donation to help needy children and youth attend church camp. You may check several boxes to set donation amount. Thank you!
Make a donation ($25)
Make a donation ($50)
Make a donation ($100)
Make a donation ($200)
Make a donation ($500)
*Release of Liability Checking this box indicates that you have read and agree to our Release of Liability form, located here . We regret that we are unable to accept registrations without a positive response to this question. Please print and sign this form and bring with you to camp.
Yes
No
*Registration Fee ($395) Check this box and click the submit button below. On the next page, click the "pay now" button to complete registration. You may choose to register with a non-refundable $100 deposit through May 1. The balance will be due by May 15. You may choose to register with deposit only or by paying the full fee now on the next registration page.
How did you hear about us?
Church
Friend
Internet
Brochure
Billboard
Business Card
Mall Display
Other
Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.