📍 808 US Hwy 82‑114, Dickens, TX  ·  📞 (806) 294‑5021Facebook · Instagram
Camper Registration

Elementary Girls

June 7–10, 2027 · Ages 712

Camper information
Parent / guardian
Emergency contact (someone other than the parent above)
Health information (kept private — seen only by camp staff)
Learning & behavior (helps our counselors care well for your camper)
Household information (confidential — used only to determine camp scholarships)
Release & waiver
Medical consent
Photography release
Baptism consent
Emergency Action Plan & certification

Typing your name above serves as your electronic signature on all agreements in this form, dated the day you submit.

A $30 deposit completes your registration. After you submit, you'll be taken to a secure payment page. The deposit counts toward your camp fee — for full‑scholarship families, the $30 deposit IS the full payment. If you need to pay another way, call us at (806) 294‑5021.