2022 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 Last Year Camper Was: Mr/Ms TCC Best Bible Boy/Girl TCC Registration Week(s) Attending:* 1 June 12-18 (ages 13-19) Camp Fee** $250.00 $200.00       -$50.00
    Staff
Discount****
  -$100.00
  TCC/BB
Discount****
2 June 19-24 (ages 8-13) $250.00 $200.00 3 June 26- July 1 (ages 8-13) $250.00 $200.00 4 July 3-8 (ages 8-13) $250.00 $200.00 5 July 10-16 (ages 13-19) $250.00 $200.00 6 July 17-22 (ages 11-15) $250.00 $200.00 **   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, 2022 is required to reserve a spot at camp and for the early discount rate.
**** 50% discount for Best Bible or TCC Award in 2021 (subtract $100.00); 25% staff discount (subtract $50.00); both
      subtract $125.00. NOTE: TCC, Best Bible and Staff Discounts are applied only to the early camp fee of $200.00.
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: Security Code:* Please, enter the text shown in this image into the Security Code field below. There are 6
letters/numbers in the image. You can click the green circular arrows to load a different image.
captcha code reload Fee if paid in full
by June 7, 2022
   -$50
   Early
Discount***
Day Camp Registration - June 7-9 (ages 5-8) Fee $ 75.00 (No discounts are available for TCC Day Camp, scholarships may be available) Sub Total 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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