2023 HYC Camper Form

Sunday June 11 - Saturday June 17 | Please fill out this form and click submit.
We are excited to welcome your camper(s) back to Camp Eagle Rock this year!

Early Registration is open now through Sunday, April 30th.
Pricing is as follows: 
Now through April 30th: $499
May 1st through May 21st: $525

Registration will close on Sunday, May 21st. No registrations will be accepted after this date.
Parent/Guardian Information

Please complete the questions below to provide information for the parent/guardian of the camper.
 
 
 
 
 
$525.00
 
Camper Information

Please complete the following questions to provide basic information for the camper.
 
 
 
Please select one option.
Please select one option.
 
Please select one option.
Please select one option.
Medical/Emergency Information

Please provide the following medical and emergency contact information as it pertains to your camper.
 
 
 
 
 
 
Please select one option.
 
Please select one option.
 
 
 
 
Please select one option.
 
 
 
 
Please select all that apply.
Please select one option.
Regarding dietary requests: While we try to accommodate dietary needs, due to the variety of diets and specific needs we are not always able to accommodate every situation. If your child has specific dietary needs please indicate those and a member of the camp staff will reach out to you.
 
 
 
 
Please select one option.
 
 
 
 
Please select one option.
Camp Waivers

New this year: Camp Eagle Rock recently transitioned to new ownership, and now requires their own waiver for all camp attendees under the age of 18. 

Please review the Camp Eagle Rock waiver here.

After reviewing the above waiver, please complete the three acknowledgments below; one for Camp Eagle Rock and the remaining two for the hosting church organization.
Please select all that apply.
Please select all that apply.
Please select all that apply.
Please select all that apply.
 
 
 
 
 

Description

Sunday June 11 - Saturday June 17
Please fill out this form and click submit.