Camp Rock of Georgia

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Office Address: 1736 W Gordon St Valdosta, GA 31605

Phone: (229) 244-1920

Email: info@camprockga.com

EIN: 46-3163243

EIN: 46-3163243

Home
About
- Board of Directors/Leadership
Programs
Next Steps
- Current Clients
Foster Care
- FAQs
Camps
Volunteer
Donate
Contact

Camp Sign up

Camp Registration

Parent or Guardian Name

Email:

Phone:

Address

Number of Students to Register

Child One Name

Camp to Sign Up For

Wilderness Weekend (3rd - 5th Grade)

Amplify Teen Weekend (6th - 12th Grade)

Co-ED Day Summer Camp (1st - 2nd Grade)

Summer Camp (3rd - 5th Grade)

Middle School Summer Camp (6th-8th Grade)

Gender

T-Shirt Size

Grade Level 2023-2024 School Year

Please explain any sleep or sleep walking issues?

Please explain any behavior or discipline issues?

Please explain any medication or allergies?

Is this student in foster care?

Yes

No

Is the student able to swim?

Yes

No

Image Release

Yes

No

Copy of Insurance Card

Student 2 Name

Camp to Sign Up For

Wilderness Weekend (3rd - 5th Grade)

Amplify Teen Weekend (6th - 12th Grade)

Co-ED Day Summer Camp (1st - 2nd Grade)

Summer Camp (3rd - 5th Grade)

Middle School Summer Camp (6th - 8th Grade)

Gender

T-Shirt Size

Grade Level 2023-2024 School Year

Please explain any sleep or sleep walking issues?

Please explain any behavior or discipline issues?

Please explain any medication or allergies?

Is the Student in Foster Care?

Yes

No

Is the student able to swim?

Yes

No

Image Release

Yes

No

Copy of Insurance Card

Student 3 Name

Camp to Sign Up For

Wilderness Weekend (3rd - 5th Grade)

Amplify Teen Weekend (6th - 12th Grade)

Co-ED Day Summer Camp (1st - 2nd Grade)

Summer Camp (3rd - 5th Grade)

Middle School Summer Camp (6th - 8th Grade)

Gender

TShirt Size

Grade Level 2023-2024 School Year

Please explain any sleep or sleep walking issues?

Please explain any behavior or discipline issues?

Please explain any medication or allergies?

Is the Student in Foster Care

Yes

No

Is the student able to swim ?

Yes

No

Image Release

Yes

No

Copy of Insurance Card

WOOHOO! You're all signed up!

You should receive an email confirming your submission and the details you've provided. Someone will contact you soon with additional details leading up to camp. If you have any additional questions, please contact our office.

See you at camp!

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We want you to know what we have been up to and how you can be involved! So click and follow us on various social media platforms.

CONTACT INFORMATION

Office Address: 1736 W Gordon St Valdosta, GA 31605

Mailing Address: PO Box 1528 Valdosta GA 31603

Phone: (229) 244-1920

Email: info@camprockga.com

© 2024

Camp Rock | All Rights Reserved.

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