Ready to make BIG DREAMS come true? 

DIRECTIONS:  Summer camp registration is a 2-part process which starts with the submission of - Part I - this short registration form.  Please provide responses to all REQUIRED and RELEVANT fields.  Upon submitting Part I (and based on the types of camp opportunities you are interested in attending) you will receive a follow-up email prompting you to complete a longer - Part II - health history form (required by law from the State of Michigan).

Note that in order to reserve a space for your camper Parts I & II must be completed.  Should you have any questions or concerns about the 2-part summer camp registration process please do not hesitate to contact us at 517-755-5001.

With gratitude and appreciation, Ben Botwinski (Ebersole Director)

 

Ebersole Summer Camp Registration - Part I


PART I - SECTION A: CAMP(S) SELECTION
Please select the summer camp(s) that you would like your camper to attend:  (required)
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PART I - SECTION B: CAMPER'S INFORMATION
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PART I - SECTION C: PARENT/GUARDIAN'S INFORMATION
If NO, please provide parent/guardian's mailing address in the fields below.
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PART I - SECTION D: CAMP CHAPERONE
Note that selecting YES, to the question above does not guarantee a spot as a chaperone. Chaperone space is limited and all chaperones must undergo a background check. Thank you in advance for your interest and understanding.
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