Senior Camp Sign Up

Please contact Dave Mosterd with questions

Student Information
Student's Name*
Name Tag
Please type your first and last name as you would like it to appear on your name tag
First Last
Student Email*
Food Allergies
Parent Information
Parent Name*
First Last
Parent Cell Phone Number*
Parent Email*
Enter Email Confirm Email
Roommate Request
Two things to consider. One that you, and your roommate are both selecting each other. Two, we will do our best to accommodate all requests, but due to dorm size and other circumstances, sometimes it doesn't always work out. Be assured, you are in your dorm very little. It is not required to request a roommate (as the dorms sleep 14-16 people)
Choose:
Payment Information
Sign Up Cost*
Price: $65.00
Total
$0.00
Billing Address*
Street Address Address Line 2 City State ZIP Code
Credit Card*

Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Student Information