Online Camp Registration

No Deposits Required. Full payment due on or before arrival (payment in any form will be accepted early). If you choose to pay by credit card please call Friedenswald at 269-476-9744 or follow the links to pay online.

Camp/Retreat Attending:

High School Camp (June 11-16)-$280

Primary Camp (June 18-20)-$175

Junior High Camp (June 18-23)-$280

Pre-Junior Camp (June 25-June 30)-$280

Junior Camp (July 2-7)-$280

Name:

Email:

Parent/Guardian:

Gender:

Date of Birth:

Grade completed in 2011-2012:

Address:

City:

State:

Zip Code:

Phone Number:

Church:

Cabin Mate Request:

Special Needs/Other:

Signature:

I hereby certify that the above information is accurate and I give my permission for the use of photographs and videos of my child and myself to be used in Camp publicity and for my child to be transported to and from off-camp activities; for the release of medical records in case of illness or inury; and for this camper to engage in all camp activities, except as noted by me and/or an attending physician. (type your name in the place of signature)