Camp Buc 2022 Sign Up

Camp Buc is a winter retreat for middle and high school students. It last from December 29 - January 1, and costs $150 per student*.

CLICK HERE FOR AN INFORMATIONAL PACKET ABOUT CAMP BUC.

Please fill out the form below to register your student for Camp Buc. Please do not register multiple students with one form - use a new form for each student. Final payments are due no later than December 1.

*For parents with multiple students attending Camp Buc, each additional student after the first costs $75. There is financial assistance available!

Student Information

Student Name:

Gender:

Male Female

Grade:

T-Shirt Size:

Small Medium Large X-Large XX-Large XXX-Large

Student's Phone:

List any medical conditions/limitations:

List any medications/allergies/food allergies:

Other Comments:

Parent/Guardian Information

Name:

Parent/Guardian's Phone:

Parent/Guardian's Email:

This address will receive a confirmation email

Insurance Information

Name of Insurance Co.:

Insured's Name:

Plan or Group Number:

Member ID Number:

Payment

The total cost per student is $150, and will be due no later than December 1st. (Reminder: For parents with multiple students, each additional student after the first costs $75.)

You can reserve your spot now without paying and then make incremental payments. If you would like to go to Camp Buc but need financial assistance, please indicate in the comment space below. There are scholarships available.

Payment

Could you use financial assistance, or do you have any comments you'd like our Wave Directors to know?

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Camp Buc 2022 Sign Up

Description

Please Fix the Following