Youth Camp Registration | Camp Kerr Lake

01/

Fill out Form

Please use this form to register your 3rd to 8th grade child for camp. Use a separate form for each camper.

02/

Pay Deposit

Please pay a $25 non-refundable registration fee to secure your child's spot at camp.

2021 Youth Camp
Registration Form

Reserve a spot for 2021 Youth Camps!

Shiloh Family Ministries (SFM) is a non-profit, non-denominational evangelical organization. SFM does not discriminate on the basis of age, gender, marital status, race or national origin.

Parent/Guardian Name

Phone Number

Home Address

City

Zip

Camper Name

Gender

Male

Female

Date of Birth

Age

Address is different from above

Home Address

City

Zip

Session Desired

Month xx-xx | 3rd-8th Grade Girls | 5 Nights! - $175

Month xx-xx | 3rd-8th Grade Boys | 5 Nights! - $175

Photo/Video Image Use Permission

I GIVE Camp Kerr Lake permission to use photos or video of my child that are taken while my child is/are at camp for promotional purposes.

I DO NOT GIVE Camp Kerr Lake permission to use photos or video of my child that are taken while my child is/are at camp for promotional purposes.

Fill out Form

Pay Deposit

2021 Youth Camp Registration Form

Reserve a spot for 2021 Youth Camps!

2021 Youth Camp
Registration Form