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Registration for new campers will open January 15th at 9:00 PM (Central Time).
2024-04-19 06:00:09 am
2024 Camp Blue Haven Registration Form
I DID NOT Attend Camp Last Year
NEW CAMPER
I Attended Camp Last Year
RETURNING CAMPER
CAMPER RECORD SEARCH
Last Name
*Required
Session Last year
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
*Required
Present Grade
5th
6th
7th
8th
9th
10th
11th
12th
College Freshman
*Required
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2024 CAMP BLUE HAVEN REGISTRATION FORM
PARENT'S INFORMATION
Parent's First Name
Parent's Last Name
Parent's Email Address
Re-type Parent's Email Address
Primary Phone Number
Alternate Phone Number
CAMPER'S INFORMATION
Camper's First Name
Camper's Middle Initial
Camper's Last Name
Address
City
State
Select a state...
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
Zip
Camper's Email Address
Gender
Select
Boy
Girl
Grade Fall 2024
5th
6th
7th
8th
9th
10th
11th
12th
College Freshman
Camper Birthday (mm/dd/yyyy)
CAMP BLUE HAVEN INFORMATION
Select a Session. *If you wish to change sessions, you must register for the SAME session you attended last year and email
info@campbluehaven.com
after registering.
Campers desiring to attend multiple sessions must submit a new registration for each desired session.
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
List up to 3 Campers you want in your Cabin:
SPIRITUAL INFORMATION
Home Congregation You / Your Family Attends
Does this camper have parental permission to be baptized at camp?
Select
Yes
No
Already Baptized
Submit Registration
Spots are limited and filled in the order the registration was received.
To ensure fairness, automated or scripted registrations are not permitted (including the use of bots or macros).
Blue Haven Youth Camp Inc. reserves the right to cancel any registrations deemed to violate this policy.