Camp Wilderness Ridge

Camper Name:
Parent Names:
Address
City:
State:
Zip:
Home Phone:
Cell Phone: [enter work # if better to reach you]
Date of Birth:
Age:
Grade entering Fall 2008:
Church you attend:
E-mail address:
SIGN ME UP FOR THE FOLLOWING WEEKS OF CAMP:
Please select your preferred camp from this list. Please click here for a list of items to bring.
SIGN UP NOW! The Woodsman and Teen Challenge Camp fee schedule is: For registrations received in the camp office by January 31st the camp fee is $175. For registrations received in the camp office after February 1st the camp fee is $195. Christian Churches or Organizations Staff are entitled to a 15% Discount. To reserve your week, send a $40 non-refundable deposit to: Camp Wilderness Ridge 855 Park Road 1C, Smithville, Texas 78957 Video Camp registration fee -- $395 until January 31st. Registration received after February 1st. the camp fee is $435. To reserve your week, send a $90 non-refundable deposit CAMPER SCHOLARSHIP ASSISTANCE IS AVAILABLE!
If you desire, you may name one boy your son would like to room with. Multiple roommate requests will be considered but cannot be guaranteed. Additional Comments (i.e. special needs):
You have two options with this form. You may use the submit button below and we will receive your information electronically. If you choose this method, please remember to mail us your $40 deposit ($90 for Video camp) right away. We cannot reserve space without the deposit. Your other option is to fill out this form, print it and mail it to us with your deposit. Either method is acceptable, but we must have your deposit to reserve space for you. Upon receipt of this form, the MEDICAL RELEASE FORM and your DEPOSIT, a letter of acknowledgement will be sent to you with other information you will need to have before arriving at the camp.