Register for Camp | Sciotohills

Submitted by Jon on Tue, 01/13/2009 - 20:49

Summer Rates

$100 non-transferable, non-refundable deposit required by date indicated below

	Full Price on/after April 1	Discount on/before March 31	Discount on/before January 31
New Frontier Camp	$295	-$20 (275)	-$45 (250)
Alpha Camp	$295	-$20 (275)	-$45 (250)
Revolution	$320	-$20 (300)	-$45 (275)

To register via snail mail or fax, please print a paper registration form from the Summer Camp page.

Scioto Hills reserves the right to dismiss any camper whose conduct is detrimental to the overall good of the camp. In cases of misconduct, no refund will be made. No deduction is made for late arrival or early departure. No one shall be denied admission to the camp, or the benefit of the US Department of Agriculture Child Nutrition Program, because of race, color, national origin, sex, handicap, or age. By submitting this form, parent(s)/guardian(s) certify photographs, video, or testimonies of campers may be used in the promotion of camp, and campers may receive mail and email from Scioto Hills.

www.sciotohills.com
ph: 740-778-3279
fax: 740-778-2170
grow@sciotohills.com

Camper’s First Name: *

Camper's Last Name: *

Sex: *

Home Phone Number: *

Cell Phone Number:

Birthdate: *

Mailing Address: *

City: *

State: *

Zip: *

Parent / Guardian Name(s): *

Parent / Guardian Work or Alternate Phone: *

Emergency Contact (not guardian) & Relationship: *

Emergency Contact Phone: *

Parent’s Email (if checked often):

Do you prefer confirmation via email?:

Yes

Sponsoring/Attending Church:

Church City/State:

Name of ONE roommate preference:

(We will honor roommate requests to the best of our ability. Typically, 3-4 campers from the same church will be in a cabin together. If no preference is listed, your camper will be assigned to a cabin with children from your church. Please also indicate here if siblings should be housed together or in separate cabins.)

The individuals listed as parent/guardian(s) and emergency contact(s) will have permission to pick up your child from camp. Please list additional names (pastor, church friend, relative, etc.) who also have permission to pick up your child from camp::

Special concerns to make known to counselor, registrar, or Executive Director::

New Frontier Camp -Minimum age 8, entering grades 2-6:

June 21-26

July 5-10

July 12-17

Alpha Camp -Entering grades 6-9:

June 21-26

July 5-10

July 12-17

Revolution Conference - Entering grades 9-12:

June 28-July 3

Name of person completing this registration form:

Where did you hear about Scioto Hills?:

What motivated you to send your child to camp?:

Discount(s) you would like to apply:

Visit the discount page for details on the discounts we offer.

Family Discount for children living in the same home::

This is the first camper in our family to register this summer – full price

This is the second camper in our family to register this summer - $15 off

This is the third (or more) camper in our family to register this summer - $25 off

Ministry Discount:

I am a full-time pastor or missionary. Take 25% off the cost of my child’s camp fees.

Refer-a-Friend Discount :

Please type the friend’s name in the box above. If your child attended camp last year, we want him/her to recruit a first-time camper. And we will reward you for each referral with $50 off your total fee (i.e. bring 5 new campers and take $250 off your rate!). The discount is applied when the friend registers. In order to earn credit, your friend must be a first time camper at Scioto Hills. (If you have invited friends who are still unsure if they will attend, you may leave this box blank and contact the camp office once they register.)

Can’t-Get-Enough Discount:

This is my child’s second week of camp scheduled for this summer. Take 50% off.