Youth Camp Registration

There are three ways to register for camp:

1. Register here online.
2. Call Delta at (315) 336-7210
3. Print out this form and mail or fax it to the office

Camper's Name:

Street:

City:

State:

Zip:

Home Phone:

Email:

Gender:  Male    Female

Date of Birth:

Grade (Fall of 2008):

Name of Parent/Guardian:

Work Phone:

Attended this Camp Before? Yes No

Roommate Request (maximum of two):

Church the Camper Attends:

How many of your children will attend Delta Lake Youth Camps this summer?

Pull down menu to select One camper this summer Two campers this summer ($15 discount) Three campers this summer ($30 discount)

Which camp would you like to register for?

Pull down menu to select Explorer Camp Pioneer Camp Trailblazer Camp Pathfinder Camp Adventure Camp

Payment Information:

Payment for registration fee is done online. If you do not want to pay online, change option below and follow instructions on the next page.

Pay online I'm sending a check in the mail I will call the office to pay

Note: Registration is not complete and forms will not be mailed until the registration fee is received.