LIFE Camps at The Cornerstone

Please fill out this form and click submit.

Which Summer Camp are you registering for?

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Please select one option.

July 7-11 July 21-25 July 28 - August 1 August 11-17

Student Information

Student's Name

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Student's Grade in Sept 2025

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Please select one option.

1 2 3 4 5 6

Student's T-Shirt Size

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Youth Small Youth Medium Youth Large

Parent/Guardian's Information

Parent/Guardian Name

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Parent/Guardian Email

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This address will receive a confirmation email

Parent/Guardian Phone

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Address

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Medical Information

Does your child have any allergies or medical conditions we should be aware of?

Name of Emergency Contact

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Phone Number of Emergency Contact

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Relationship to Child

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Information for Pick-Up

Please supply the names of other people you authorize to pick up your child..

Statement of Informed Consent

Please click here to read The Cornerstone's LIFE Camps Policies.

I have read and agree fully with the policies of LIFE Camps.

*

Please select all that apply.

Yes

Payment Info

We're having an issue with our payment provider, so we will not be taking payment at this time. Our team will send you an email with a payment link when the issue is resolved. Sorry for the inconvenience!

Description

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