AMOC - American Mission for Opening Churches

Registration Form
Step 1 of 3

Camper's Name:

Address:

City:

State:

Zip:

Email:

Gender:

Birth Date:

Grade Level:
(Entering this Fall)

Parent's Name:

Phone Number:

Roommate Request:

(Roommate requested must also select you as a roommate)

Church, if any:

Total Camper Fee: $250.00 Per Week
(includes $75.00 non-refundable registration fee)

Camp Dates

July 6 - 11 (3rd - 5th Grade)

July 13 - 18 (6th - 8th Grade)

July 27 - August 1 (9th - 12th Grade)

Day Camp - August 3 - 7 (Ages 7-11)
Cost $150.00 (Arrive: 8:30-9:00am & Depart 4:30-5:00pm)

Select Camp Date:

Available Discounts
Will be deducted from camper fee-NOT registration.

	Register by May 1st - Save $50 on Regular Camp & $15 on Day Camp

	Family Discount (must be brothers or sisters) -First child pays full fee -SAVE $10 for second child's camp fee. -SAVE $15 for third child's camp fee.