Summer 2025 Template

WHERE: Clearwater Cove in Lampe, MO

WHEN: July 17, 2025 - July 24, 2025

Departure: Thursday evening, July 17 (time/location TBD)

Return: Thursday morning, July 24th (time/location TBD)

COST: $949, a deposit of $225 is required to hold your spot. Register by December 15 for early bird pricing - $200 off your camp trip!

Money is nonrefundable after April 1st.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact Josh or Kate Greene at:

[email protected]
[email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($949.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($949.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
Leader Registration ($0.00)

Participant Name

Date of Birth

Phone

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Phone Type

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information