2021 Application for Teenage Christian Camp Camper First Name:* Camper Last Name:* Birthdate (mm/dd/yy):* date selector Gender:* Female Male 1st Year at Camp?:* Yes No Parent E-mail:* Camper E-mail: Address:* Address(cont): City:* State:* Zipcode:* Parent/Guardian Name:* Home Phone:* Cell Phone:* Emergency #s:* Church Preference:* Congregation Name:* Church Member?:* Yes No Immunizations Up-to-date?:* Yes No Allergies: Health Issues: Group Number: Policy Number:* Insurance Carrier:* T-shirt Size?:* Camper S Camper M Camper L Adult S Adult M Adult L Adult XL Adult XXL In 2019, Camper Was: Mr/Ms TCC Best Bible Boy/Girl TCC Registration Week(s) Attending:* 1 June 13-19 (ages 13-19) Camp Fee** $200.00 $150.00       -$37.50
    Staff
Discount****
  -$75.00
  TCC/BB
Discount****
2 June 20-25 (ages 8-13) $200.00 $150.00 3 June 27- July 2 (ages 8-13) $200.00 $150.00 4 July 4-9 (ages 8-13) $200.00 $150.00 5 July 11-17 (ages 13-19) $200.00 $150.00 6 July 18-23 (ages 11-15) $200.00 $150.00 **   The camp fee includes a t-shirt for every camper. A limited number of shirts will also be for sale at camp.
***  Full payment by June 7, 2021 is required to reserve a spot at camp and for the early discount rate.
**** 50% discount for Best Bible or TCC (subtract $75.00); 25% staff discount (subtract $37.50); both
      subtract $94.00. NOTE: TCC, Best Bible and Staff Discounts are applied only to the early camp fee of $150.00.
Total Amt: Fields that are marked with a "*" are required. Notes to Camp Staff: Please list below the names of anyone in addition to parents/guardians authorized to pick up this camper from camp: T-shirts will be distributed each camping week (additional shirts may be purchased for $10.00 per shirt at camp). * required field - must be completed. Scholarship Code:    Week
Sub Total
Apply Scholarship to Week: Fee if paid in full
by June 7, 2021:
   -$50
   Early
Discount***
If you would like to make a donation to the camp master plan in addition to the camp registration fee, please enter that amount here: Please click ONCE and wait for Confirmation page
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