Online Registration

Camp will be held from October 7th - 10th, 2021

1. Contact Information


2. Address


3. Campers


Please Enter the Number of Adults and Children that will be staying. Children up to 5 years old are free. Adults and children 6 and above are $80.00 ($70.00 if before September 6th, 2021).

Please enter the names of the adults who will be staying, followed by age.

4. Emergency Contacts


Contact (Who is also attending camp)


Contact (Who is not attending camp)

5. Allergies and Special Considerations


Please note that the camp asks that no personal food be brought to the camp. We will try our best to accommodate any food needs that you notify us of.

6. Arrival Time


Please note that each person attending will be required to sign a virus waiver (regarding COVID-19) at check-in (in-person). At this point, masks or face coverings will not be required. It is up to your own personal discretion if you choose to wear masks. If you have questions or concerns, please email charitygracebiblechurch@gmail.com.

7. Payment


Total Amount: $70.00

(Based on the number of campers and their age ranges. Assumes a 4 day stay.)

Online Payment via PayPal is selected. Please send $70.00 with PayPal before submitting your application. The link below will open a new tab. Return to this tab to finish submitting your Application when payment is complete.

Go To PayPal