Grace Adventures Day Camp 2017 Scholarship Request Registration

Camper Information

  • Male     Female
  • Pre-K    K    1    2    3    4    5    6    7    8   
  • Youth 4    Youth 6    Youth 8    Youth 10    Youth 12
    Adult XS    Adult S    Adult M    Adult L   
  • Yes     No
  • Yes     No

Parent / Guardian Information

Two Emergency Contacts (to be notified if parent cannot be contacted)

Registration cannot be considered complete until 2 emergency contacts are provided. They will be contacted only in the event that we can not reach a guardian, and a medical or behavioral issue arises.

Individuals listed here are authorized for pickup.

Authorized Pickups

Please add anyone who will be picking up your camper at the end of the day. Your camper may only leave with individuals listed on this form as a guardian, emergency contact, or authorized pickup.


Your child can choose 2 friends of the same gender and age to be grouped with.

Permission to Use Photos/Videos

Do we have permission to use photos and videos that may include your child in promotional materials?

  • Yes     No

Payment Information

Tuition includes camp T-shirt, group photo, and Friday lunch.

CampCost per week
Taste of Camp (Half day, Age 4 to Pre-K)$125
Pioneer Camp (Age 4 to pre-K)$235
Explorer (Completed K-4)$235
Trail Blazers (Completed 5th-6th)$235
Teen Adventure (Completed 7th-8th)$235
Early or Late Camp$25
Both Early and Late Camp$40

New Camper Discount

$10 if attending for the first time

Sibling Discount (applied to entire registration)

2-3 kids = 2.5%

4 or more kids = 5%

Early Registration Discount

$20 if you register before April 1st

Sponsorship Opportunities

Many children are able to attend because of your contributions. All gifts are greatly appreciated and tax deductable.


***All payments must be received before the first day of camp
***A $25.00 processing fee will be added to each registration after June 1st.
***No Camp on July 4th. Therefore the week of July 4th is discounted by $25.00.

Camp Selection

Please select the camp and weeks you would like to attend.There is no camp on 7/4 (Week 2).

Week 1
6/26 - 6/30
Week 2
7/3 - 7/7
Week 3
7/10 - 7/14
Week 4
7/17 - 7/21
Week 5

Taste of Camp

A half day camp. Age 4 to Pre-K. $125/week

Pioneer Camp

Age 4 to Pre-Kindergarden. $235/week

Explorer Camp

Completed Kindergarden through completed 4th grade. $235/week

Trail Blazers Camp

5th to 6th grade. $235/week

Teen Adventure

7th to 8th grade. $235/week

Early Camp

Child care before camp,
8:00-9:00 am. $25/week

Late Camp

Child care after camp,
4:00-5:00 pm. $25/week

Early and Late Camp

Child care before and after camp,
8:00-9:00 am and 4:00-5:00 pm. $40/week

Specialities (Explorers Only)

SpecialtyWeek 1Week 2Week 3Week 4Week 5
Younger Art (K-2nd)
Older Art (3rd-5th)
Younger Sports (K-2nd)
Older Sports (3rd-5th)
Fun Legos 1
Fun Legos 2
Outdoor Exploration

Discounts and Payment

  • 1 kid - no discount     2-3 kids = 2.5%     4 or more kids = 5%    
  • I am a first time camper
  • Support Opportunities

    Many children are able to attend because of your contributions. All gifts are greatly appreciated and tax deductable.

    If you would like to contribute, please enter your donation amount below. The amount will be added to your total. Thanks so much.

  • Pay in full     Pay 50%     Pay 33%     Pay 25%

Camp Tuition and Any Child Care:
Sibling Discount:
First Time Discount:
July 4th Discount:
Early Registration Discount:
Late Registration Processing Fee (after 6/1/2017):

Total Due (includes all selections):


Amount you are paying today:



Due to the high volume of scholarship applicants and our desire to meet the needs of all families in need of assistance with camp tuition, we have placed a maximum amount of a 25% scholarship award per camper toward tuition costs. Please make sure you provide all information requested below before submitting your scholarship request and registrations. All scholarships will be awarded no later than June 6th. Please email us with any further questions at

  • Single     Married     Widowed    
  • Full-Time     Part-Time     Unemployed    
  • Full-Time     Part-Time     Unemployed    
  • $10,000 - 30,000     $30,000 - 50,000     $50,000 - 80,000     $80,000 - 100,000     $100,000+

Cancellation Requests

All cancellation requests must be made by email in order to receive a refund. Your camper registration fee includes a $50.00 non-refundable deposit. An additional $25.00 per camper per week cancellation fee will be assessed for cancellations made within 30 days of each camp week's start date.

  • Yes

Submit Registration

Registration is on a first come first serve basis. You will be notified by email within two business days if you have been wait listed.

You will receive a confirmation email of your registration. This email will include forms to be filled out for EACH child you register. Please fill out forms and email to the email address for forms before your child's first day of camp. Your child must have all forms filled out before he or she may attend camp.

When you press "Register", your registration will be checked and any needed corrections will be noted for you to correct. If your information is complete, you will go to the payment page.

Your registration will not be submitted without payment.

How To Register

Fill in the form and click the Register button.

Payment will be required at the end of this registration process.

Fields marked with * are required.

Use this form for initial registration ONLY.     If adding to or changing a camper's registration after registering here, do not use this form, please email