Camper Information

Name

Date of Birth

Gender

Male
Female

Email address-to be used to inform camper of future AEYF and Camp Arevelk events

Instagram handle

Phone Number

Address

How many years has camper been to Camp Arevelk?

How old will the camper be on Aug. 4, 2024

What grade will the camper be entering in September 2024?

Church Affiliation

T-Shirt Size (Adult Sizes)

Parent/Guardian & Emergency Contact

Parent/Guardian Name

Email- To be used for camp communication and updates

Phone Number

Emergency Contact (If parent can't be reached)

Relation to Camper

Phone Number

Waivers and consent forms

Media Consent-I hereby consent and give permission to Camp Arevelk staff to photograph or videotape my child to be used for the purpose of advertising and or promoting Camp Arevelk. Camp Arevelk owns the copyright of the images taken and may use a selection of them for advertising. Photographs can be posted in AEUNA, AEYF or Camp Arevelk publications, online, social media, slideshow, video montage, print and any other way to promote Camp. The photos will be used solely for camp purposes and will not be given to a third party.

I agree
I disagree

Release of Liability

I have read and agree to the terms above.

Code of Conduct

I have read and agree to the terms above.

Medical Forms-Please print, complete, scan and email to [email protected] ~To mail forms, send to Camp Arevelk 65 Kinnicutt Rd. Worcester, MA 01602

I have read and agree to the terms above.

Registration Fees

Registration Options

Single Camper ($600.00)
Family Rate ($525.00)
Use family rate for 2 or more siblings
Canadian Single Camper (USD) ($550.00)
Canadian Family Rate (USD) ($475.00)
Use family rate for 2 or more siblings

Billing Information

Name

Payment Method - Credit Card or Check (USD checks only). If selecting check either bring to camp or send to Camp Arevelk 65 Kinnicutt Rd. Worcester, MA 01602. If financial assistance is needed, please choose "check" and email [email protected] with your request.

Credit Card
Check

Credit Card

Visa
Mastercard
American Express
Discover

Address