2025 Online Registration

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Online Registration

* Indicates required field

I need assistance paying for my week/weeks of camp: *

Yes No Maybe

The cost for a week of camp is $175 per person. Please specify how much of the expense you can cover. *

Please select which week(s) you plan to attend:

Please select all weeks you intend to attend as a camper and those you intend to attend as a staff member.

Weeks of Camp as Camper *

Senior Week: June 30-July 5 Intermediate Week: July 7-12 Junior Week: July 14-19 All-Age Week: July 21-26 Singing Week: July 28-August 2

Weeks of Camp as Staff *

Senior Week: June 30-July 5 Intermediate Week: July 7-12 Junior Week: July 14-19 All-Age Week: July 21-26 Singing Week: July 28-Aug 2

Full Name *

First

Last

Gender *

Male Female

Age *

Last School Grade Attended *

Church Affiliation *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

E-Mail Address *

Parent/Guardian Name *

First

Last

This is required if you are not 18 years old at the time of registration.

Phone Number #1 *

Parent/Guardian E-Mail Address *

Phone Number #2 *

The following individuals may pick me (registrant) up from camp:
(Staff Members - please list yourself.)

Name *

First

Last

Name *

First

Last

Phone Number *

Medical Information

Required medical forms must be completed in person upon arrival to your week of WVCYC.

Please list any dietary modifications.

Dietary Modifications *

Please list any other information you need to share.

Other Information *

Submit

Home
Events
About Us
- FAQ
- Packing List
- Rules
- Forms
- Directions
- Mailing Address
- Camp Board
- Contact Us
Online Store
Fundraisers
- Bluegrass & BBQ
- Golf Benefit