Online Camper Registration

Register and pay in full one time by May 15, 2010 and get a $25 discount

Camper's Full Name (last,first,mid): Gender:

Mailing Address:

City: State: Zip Code:

Home Phone:

Emergency Contact: (when parent is not available)
Name: Phone:

Birth date (mm/dd/yyyy):

Year of Graduation:Grade Next Fall:

Two Buddies I would like to be in a cabin with:

Father's Name or Legal Guardian:

Mother's Name or Legal Guardian:

Father's Work Phone: Cell or Alternate:

Mother's Work Phone: Cell or Alternate:

Church you attend:
City: State:

Camper E-mail:

Your E-mail:
(please double check your email address is correct - you will receive confirmation of your registration via email)

Camper Release:
(list anyone, including parents, that your camper can be released to)

How did you hear about The Springs? Friend Church Web Promotional Event Other

First time camper?  Yes No

Week of Camp:
If you would like to register a camper for both weeks please select the weeks that apply.
 Mini Camp - Grades 2-5 - July 5-7 - Cost $150 ($125 before 5/15/2010) Junior Camp 1 - Grades 3-6 - June 14-19 - Cost $250 ($225 before 5/15/2010) Junior Camp 2 - Grades 3-6 - June 21-26 - Cost $250 ($225 before 5/15/2010) Junior Camp 3 - Grades 3-6 - July 12-17 - Cost $250 ($225 before 5/15/2010) Junior Camp 4 - Grades 3-6 - August 9-14 - Cost $250 ($225 before 5/15/2010) Junior High 1 - Grades 6-8 - June 14-19 - Cost $250 ($225 before 5/15/2010) Junior High 2 - Grades 6-8 - June 21-26 - Cost $250 ($225 before 5/15/2010) Junior High 3 - Grades 6-8 - July 12-17 - Cost $250 ($225 before 5/15/2010) Junior High 4 - Grades 6-8 - July 26-31 - Cost $250 ($225 before 5/15/2010) Sr. High 1 - Grades 9-12 - June 14-19 - Cost $275 ($250 before 5/15/2010) Sr. High 2 - Grades 9-12 - July 27-July 3 - Cost $275 ($250 before 5/15/2010) Sr. High 3 - Grades 9-12 - July 18-24 - Cost $275 ($250 before 5/15/2010)

A $50 non-refundable, transferable deposit is required with registration:
Deposit preference:
 I will Send a check I will Call with credit card information I will Use Pay Pal (this option is available using the link at the end of this page and includes a $6 charge per registration)

Checks made out to:
The Springs
1950 N M-30
Gladwin, Mi 48624
(include camper name on check)

Phone Number: (989) 426-7604
PayPal Account: thesprings@gmail.com

Please review all information before sending this form.

Once You’ve registered Your Camper

Proceed to online Payment via PayPal by clicking here. Pay in full one time by May 15, 2010 and get a $25 discount

Please download the medical information sheet, fill it out and send to us to complete your camper’s registration. Download Medical Information Form

If you entered and email above you will receive confirmation of your registration via email.