Teen Retreat Nov. 15-16
The S@C that just won’t quit! This retreat will feature some great over-the-top games and activities, plus great speaking and music! Call or register online. Begins at 3PM. $35
There are three ways to register for this retreat. 1. Fill out the online registration form and pay by paypal. All online registrations must be paid online or they will be deleted. There is a $1.50 processing fee for online payment for the teen retreat.
2. Call us at 910-628-6326 or e-mail us for other registration information.
3. Download the following form and send it in to :Camp Grace/ 145 Grace Dr./ Fairmont, NC 28340. To download the registration form,
If you have not been to Camp Grace in the past year you will need to fill out a medical form. To download that form,
For more directions on what to bring with you to camp,
Online Registration Form
Camper’s Name:
Likes to be called:
Birth Date: Jan Feb March April May June July Aug Sept Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
Age: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Grade : 1 2 3 4 5 6 7 8 9 10 11 12
Gender: Male Female
Mailing Address:
City: State: Zip Code:
Parents/Legal Guardians:
Home Phone: Work Phone: Cell Phone:
E-mail address:
Emergency Contact other than Parents (name and Phone #):
Have you attended Summer Overnight Camp at Camp Grace before? Yes No Have you attended CBM Day Camp before? Yes No Cabin Mate Request: (Request only 1 friend. Multiple requests may not be honored. Your friend should also request you to be sure you will be assigned to the same cabin.)
*Please bring current medications in original container with instructions.
*Any known allergies? If so, please list them here:
By clicking submit below you agree to the following:-I agree to have my child’s immunizations current & a notarized medical form completed before entering camp.-I give my child permission to complete in the entire camp program unless otherwise noted on the medical form.-I give permission for my child to be photographed/videotaped for the purpose of promoting Camp Grace.-I understand that if my child misbehaves or brings unacceptable items he/she will be sent home without a refund.
