Non Elks Kids Week Registration

Please complete the information below and hit submit. You will then need to provide a form of payment to reserve your child's spot at camp.

Please note some sessions are now closed. You can still register for wait lists for the closed sessions. See graphic to the right for the current status of sessions.

* Indicates required field

Which Session? *

Child's Gender *

Male Female

Child's Age (at time of camp) *

Child's First & Last Name *

Name of Elks Child / Cabin Mate *

Street Address *

City *

State *

Zip *

Parent / Guardian First & Last Name *

Relationship *

Home Phone # (if no home #, use cell #) *

Relationship *

Primary Email Address *

Cell Phone # (if no cell #, use home #) *

Has your child been away from home for longer than 2 days previously: *

Yes No

Work / Alternate Phone # *

Is your child a first time attendee or a returning camper: *

First time camper Returning camper

Please describe any medical conditions, treatments or medications *

Is there anything else we need to know about your child *

Continue