Family Camp Registration

Family Camp Registration 2020

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May 29-31

Registration is complete when payment is made.
Larger discounted scholarships are available on a limited first come / first serve basis. Please contact Gabrielle Strickler or Walter Dumelle to request.

Lax Sadler Lodge
$177 per adult
$124 per child
6 rooms sleeping up to 5 with 2 bunk beds and 1 single bed/ bathroom En-Suite
1 room sleeping up to 3 with 2 bunk beds and 1 single bed / wheel chair accessible
bathroom En-Suite
Partial scholarship pricing is $115 per adult and $65 per child

To request a discount or scholarship contact Gabrielle Strickler, Director of Children's Ministries, gabrielle@sjbts.org, or 858-459-3421 ext. 108.
To pay now click the button below (Pay once for the number of adults and return to pay once for the number of children):

Blum Lodge
$167 per adult
$124 per child
8 rooms sleeping up to 6 all bunk bed style / shared bathroom with private stalls and wheel chair accessible bathrooms
Partial scholarship pricing is $100 per adult and $50 per child.

To request a discount or scholarship contact Gabrielle Strickler, Director of Children's Ministries, gabrielle@sjbts.org, or 858-459-3421 ext. 108.
To pay now click the button below (Pay once for the number of adults and return to pay once for the number of children):

Sign up here for Family Camp at Camp Stevens, May 29-31

* Indicates required field

Adult/Parent/Guardian Name(s) *

First

Last

Phone Number *

Alternate Phone Number if any *

Email if any *

Name of Family Member 1 *

First

Last

Name of Family Member 2 *

First

Last

Name of Family Member 3 *

First

Last

Fam. Member 1's Birthday *

Fam. Member 2's Birthday *

Fam. Member 3's Birthday *

Name of Family Member 4 *

First

Last

Name of Family Member 5 *

First

Last

Name of Family Member 6 *

First

Last

Fam. Member 4's Birthday *

Fam. Member 5's Birthday *

Fam. Member 6's Birthday *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Family Member 1's Grade in School *

Family Member 2's Grade in School *

Family Member 3's Grade in School *

Family Member 4's Grade in School *

Family Member 5's Grade in School *

Family Member 6's Grade in School *

Does anyone in your family have any special needs that may require attention while s/he participates in our programs (medications, learning disabilities, etc.)? Please list by family member. *

Are there any other requests or concerns you would like to express here? *

Use of Child’s Image: Please read carefully.

Unless you request otherwise, St. James by-the-Sea reserves the right to exhibit and publish photographs of your child in internal and external communications, including, but not limited to, the churches’ newsletters and websites. Your child’s name will not be published in either case. If you do not want your child’s image used in any of these communications, please indicate your preference below.

Click the button if your preference is as stated. *

As the Parent or Guardian of the children listed in this form I DO NOT give permission to St. James by-the-Sea to use their images in any of the above mentioned media.

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