Register For Camp

Camper's Information

Name*

FirstLast

Address*

Street AddressAddress Line 2CityStateZip Code

Camper's Date of Birth*

Gender of Camper*

Male
Female

Parent / Legal Guardian Information

Parent / Legal Guardian's Name*

FirstLast

Relationship to Camper*

Email*

Enter EmailConfirm Email

Primary Phone Number*

Work / Secondary Phone Number

Emergency Contact Name*

FirstLast

Emergency Contact Phone Number*

Is the parent / legal guardian's address the same as the camper's address?*

Yes
No

Address*

Street AddressAddress Line 2CityStateZip Code

Camp Selection

I'm Interested In...*

Adventure Camp One Week Term $850 (Ages 7 - 13)
Summer's Best Two Week Term $1700 (Ages 7 - 16)
Trek Texas $750 (Ages 17-18)
Day Camp $185 (Ages 5 - 10)

Camp choices will appear once you have made a selection.

I'm Interested in an Adventure Camp One Week Term ($850)*

June 3th - June 9th ::: Adventure Camp AC 1
June 10th - June 16th ::: Adventure Camp AC 2
June 17th - June 23th ::: Adventure Camp AC 3
June 24th - June 30th ::: Adventure Camp AC 4
July 1st - July 7th ::: Adventure Camp AC 5
July 8th - July 14th ::: Adventure Camp AC 6
July 22th - July 28th ::: Adventure Camp AC 8

I'm Interested in Summer's Best Two Week Term ($1,700)*

June 3rd - June16th ::: Summer's Best SBTW 1
June 17th - June 30th ::: Summer's Best SBTW 2
July 1st - July 14th ::: Summer's Best SBTW 3
July 15th - July 28th ::: Summer's Best SBTW 4

I'm Interested in Trek Texas ($750)*

June 17-23 ::: Trek Texas Term 1
July 15-22 ::: Trek Texas Term 2

Are you a 2012 COR Team Member?*

Yes
No

Your participation in the COR Team program is subject to verification.

I'm Interested in Day Camp ($185)*

July 18th - 22nd ::: Day Camp

Notes or Comments

Please Select a Method of Payment*

Online
Mail

Tuition Total

$0.00

Please verify all information and selections above.*

I have verified all information above and acknowledge that the total amount provided is correct.

If you have made any mistakes, please correct them now. If you discover that you submitted your registration with an error, please send the corrected information to pambehling@deercreekcamp.com

Deer Creek Adventure Camp

Camp Registration

Camper's Information

Parent / Legal Guardian Information

Camp Selection

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