2019 Weekend Registration

* Indicates required field

Name - Primary contact *

First

Last

t-shirt size (of primary contact) *

Allergies or special needs (for the primary contact) *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parish *

Food and Lodging
Please help us plan for food, and let us know where you'd like to stay the night.

Sleeping options *

Cabin Bring your own tent or RV

We will plan for you to eat all meals (Friday dinner - Sunday lunch). If you are planning to arrive late or leave early, please let us know. *

Information for additional family members

2) Name *

Age *

T-shirt Size *

Allergies or special needs *

3) Name *

Age *

T-shirt size *

Allergies or special needs *

4) Name *

Age *

T-shirt size *

Allergies or special needs *

5) Name *

Age *

T-shirt size *

Allergies or special needs *

6) Name *

Age *

t-shirt size *

Allergies or special needs *

Additional Comments or anything you would like to share with us. *

Each person registering may only register 5 additional people. If you'd like to register more, please fill out another form. Each registration must have a different primary contact. One adult must accompany every 5 children/youth (minors).
Thank you!

Click to register

Payment Information

Payment The price of Weekend Camp is $60 per person.
Go here for payment information: www.episcopalyouthcamp.org/pay.html
Financial Assistance is available here: www.episcopalyouthcamp.org/financial-assistance.html

Click to pay online

Episcopal Diocese of Western Michigan shield

The Episcopal Youth Camp is part of the Diocese of Western Michigan
www.edwm.org
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