Camp Registration

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JCY Registration

* Indicates required field

Camper Name *

First

Last

Date of Birth *

Shirt size for JCY Camp T-Shirt *

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 deposit towards camp tuition is due with registration. You can pay using PayPal below (a 3.5% convenience fee applies for all online and credit card payments) or mail a check to JCY Camp, 585 Progress Ave, Munster, IN 46321.

Please SUBMIT registration form before clicking on Pay Now button.

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