Please enable JavaScript in your browser to complete this form.23 entries leftName *FirstLastPhoneEmail *Parent or Guardian Name *Parent or Guardian Phone Number *Parent or Guardian Email *Emergency Contact *Emergency Contact Number *Any Food Allergies? Explain *Medications? Please List *Medical Concerns *Church *Grade *Camping Fee *Price: $ 30.00Love OfferingGift 1 - $ 30.00Gift 2 - $ 50.00Gift 3 - $ 70.00Gift 4 - $ 100.00Gift 5 - $ 200.00Gift 6 - $ 300.00Gift 7 - $ 400.00*NOT REQUIRED* If you would like to make a love offering in support of this trip to help cover additional cost, you may do so here.Stripe Credit Card *CardName on CardTotal$ 0.00Submit