Camp Registration

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JCY Registration

Camper Name *

First

Last

Date of Birth *

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Add-on Golf for $145? *

Yes No

Add-on Tennis for $180? *

Yes No

How would you prefer your JCY Camp packets sent? *

E-mail Mail

Do you know someone who would love JCY Camp? Let us know and receive a $50 credit if they register! *

Friendly reminder that a $100 non-refundable deposit is due with registration. You can pay using PayPal below or mail a check to JCY Camp, 585 Progress Ave, Munster, IN 46321.

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