2026 Junior Camp Payment Form
One Form Per Camper
Please fill out this form and click submit.
Parent/Camper Meeting:
Sunday, June 28th, after AM Service.
All forms and fees are due at this time.
Camper Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
T-Shirt Size
*
Please select one option.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXL
Payment Options
Pay Online ($280.00)
Pay In Person ($0)
Custom Amount
Camp Fee Has Already Been Paid By Another Person ($0)
I Already Paid Fee Myself ($0)
Pay Online ($280.00)
Pay In Person ($0)
Custom Amount
Camp Fee Has Already Been Paid By Another Person ($0)
I Already Paid Fee Myself ($0)
Amount
If your child/camper was paid by you or someone else, please list the person or company's name, approximate date and payment form.
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
One Form Per Camper
Please fill out this form and click submit.
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