Country Life Kids Camp

New Family Enrollment for Country Life Kids Camp

Thank you for joining Country Life Kids Camp (Chrisitian Youth Summer Day Camp); our Wilderness Club (In-Person Field Trips for Spring & Fall) .

Please fill out the form below to confirm your commitment for enrollment.

Thank You!

* are mandatory fields

Parent 1 information

First name

Last name

E-mail address

Password

Confirm password

Relationship

Cell phone

Work phone

Parent 2 information

First name

Last name

E-mail address

Relationship

Cell phone

Work phone

Home address

International Address

Address

Apt, Suite, Bldg.

City

Zip

State

Region

Country

Home phone

Camper information

First name

Last name

Gender

Date of birth

Grade entering, Fall 2024

Cell phone

Add another camper...

Family questions

How did you hear about Country Life Kids Camp?

What is your preferred method of communication with Country Life Kids Camp?

What information do you need to help with your decision to send your child to camp?

Would you like to sign up for our digital Camp News Letter to stay up to date with camp programs, discounts, and special events?

Are you interested in our "WILDERNESS CLUB" In-Person Field Trips for Spring & Fall?

Are you interested in learning more about our "EDventurer's Club" - Online Clubhouse of Learning?

Additional information

How did you hear about us?

Who did you hear about us from?

Please confirm that you're not a robot: