Activity Selection Form for Y-4-All

If you've already registered for a youth retreat at camp. You can submit the form below for your activity selection. If you don't want to submit your selections online, you can download, complete and fax this PDF form to Elizabeth Hudson at 810-629-2128. Thanks!

Y-4-All Activity Selection Form
Group Name (*)

Please type your Group Name.
Group Contact (*)

Invalid Input for Group Contact
E-mail (*)

Invalid email address.
Phone Number (*)

Invalid Input for Phone Number
Arrival Date (*)

Invalid Input for Arrival Date
Arrival Time (*)

Invalid Input for Arrival Time
Departure Date (*)

Invalid Input for Departure Date
Departure Time (*)

Invalid Input for Departure Time
Age of Campers (*)

Invalid Input for Age of Campers
Do you have any campers with Peanut Allergies? (*)

Invalid Input
Number of Campers (*)

Invalid Input
Number of Adults (*)

Invalid Input
Number of Vegetarians in your group (*)

Invalid Input
Campers with Special Needs

Invalid Input Please use the space above to inform us of campers needing special arrangements. For example: campers in wheelchairs, campers with special diets, campers with learning disabilities. Filling this in for us now will help us to provide all campers with a comfortable camp stay.

Select Your Activities

Please note that some activities are double in length and therefore count for 2 activities. Please check the activities you would like (6 day time & 2 evening).

Adventures












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Creations








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Educators











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Energizers












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Evening Activities








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Please select one alternate activity in case of scheduling conflicts (type the activity name). (*)

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Please check the box to acknowledge that you have read the following statement (*)

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