2026 Camp ROCKS! Registration

Parent/Guardian's First Name *

Parent/Guardian's Last Name *

Address

Street Address *

City *

State *

Zip Code *

Phone *

Email *

Camper's First Name *

Camper's Last Name *

Choose One

Male

Female

Name one person you would like to have as a cabin mate:

Camper's First Name (2) *

Camper's Last Name (2) *

Choose One (2)

Male

Female

Name one person you would like to have as a cabin mate: (2)

Camper's First Name (3) *

Camper's Last Name (3) *

Choose One (3)

Male

Female

Name one person you would like to have as a cabin mate: (3)

Camper's First Name (4) *

Camper's Last Name (4) *

Choose One (4)

Male

Female

Name one person you would like to have as a cabin mate: (3) (copy)

Payment & Deposits

Please choose the correct quantity for the number of campers you are registering today.

Select the items you would like to pay for today. *

Camp ROCKS! - 100%

$400

Camp ROCKS! - 25%

$100

Camp ROCKS! T-Shirt

$20

*100% secure & safe payments*

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