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 *

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

Grade Completed by Camp ROCKS!

Registering a second camper? *

Yes

Camper's First Name (2) *

Camper's Last Name (2) *

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

Grade Completed by Camp ROCKS! (2)

Registering a third camper? *

Yes

Camper's First Name (3) *

Camper's Last Name (3) *

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

Grade Completed by Camp ROCKS! (3)

Select the *

Camp ROCKS! 2026 [Registration Deposit]

$50

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