Regnum Christi Ohio Valley - ECYD Challenge Camp 1 - JUNE 5-9

CAMPER INFORMATION

Number of Campers (grades 5-12) REQUIRED Please fill out this field.
Camper 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Grade in School (2023-2024) REQUIRED Please fill out this field.
- T-shirt size REQUIRED Please fill out this field.
- Challenge Club REQUIRED Please fill out this field.
- Allergies or Medical Problems Please enter valid data.
- Does participant have any behavioral, psychological or medical situations to be aware of? REQUIRED Yes No Please fill out this field.
- If yes, what types of accommodations would she need over the retreat weekend, if any? A member our pastoral team will be in touch with you. Please enter valid data.
- Camper's current Medications: Please enter valid data.
Camper 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Grade in School (2023-2024) REQUIRED Please fill out this field.
- T-shirt size REQUIRED Please fill out this field.
- Challenge Club REQUIRED Please fill out this field.
- Allergies or Medical Problems Please enter valid data.
- Does participant have any behavioral, psychological or medical situations to be aware of? REQUIRED Yes No Please fill out this field.
- If yes, what types of accommodations would she need over the retreat weekend, if any? A member our pastoral team will be in touch with you. Please enter valid data.
- Camper's current Medications: Please enter valid data.
Camper 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Grade in School (2023-2024) REQUIRED Please fill out this field.
- T-shirt size REQUIRED Please fill out this field.
- Challenge Club REQUIRED Please fill out this field.
- Allergies or Medical Problems Please enter valid data.
- Does participant have any behavioral, psychological or medical situations to be aware of? REQUIRED Yes No Please fill out this field.
- If yes, what types of accommodations would she need over the retreat weekend, if any? A member our pastoral team will be in touch with you. Please enter valid data.
- Camper's current Medications: Please enter valid data.
Camper 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Grade in School (2023-2024) REQUIRED Please fill out this field.
- T-shirt size REQUIRED Please fill out this field.
- Challenge Club REQUIRED Please fill out this field.
- Allergies or Medical Problems Please enter valid data.
- Does participant have any behavioral, psychological or medical situations to be aware of? REQUIRED Yes No Please fill out this field.
- If yes, what types of accommodations would she need over the retreat weekend, if any? A member our pastoral team will be in touch with you. Please enter valid data.
- Camper's current Medications: Please enter valid data.

PARENT/GUARDIAN CONTACT INFORMATION for communication prior to the event.

Parent/Guardian Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Street Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Alternate Phone Number Maximum 20 characters Please enter a phone number.
Moms: do you want to join the fun and get a peek into your daughter’s camp experience? (ie. help with meals, overnight, team mom for the day)- click yes, and we will contact you with options to see what best fits you! REQUIRED Yes No Please fill out this field.

*RC Activities reserves the right to deny acceptance to any applicant at any point in this process.

NOTE: Cancellations will receive a refund for the amount paid less $40 for 5th-8th graders or $30 for high school leaders to cover our bank fees and processing costs.

Camper Registration Fee450.0

Please enter how many of the girls you are registering are high school team leaders so the team leader discount will be applied.

HS Team Leader Discount-100.0

# of HS Team Leaders Please enter an integer (number).

Your additional donation is appreciated to support the ministry of our LC priests and Consecrated Women of Regnum Christi, who are running this retreat. Thank you!

Additional Donation $ Please enter a positive decimal.

ECYD Challenge Camp 1 - JUNE 5-9

Camp Details

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