Summer 2025 Template

WHERE: Castaway Club

WHEN: July 18, 2025 - July 23, 2025

Departure: July 18th around 3am

Return: July 24th around 1-2am

COST: $900 a deposit of $200 is required to hold your spot.

Money is nonrefundable after April 1, 2025

We fully know that this is a ton of money. We will be providing many fundraisers throughout the year to help the kids with this cost. We can also provide scholarships if need be as well. Please reach out to us and don’t let money be the reason your kid doesn’t go to camp.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact your kids leader or the area director, Heather Hartnagel at 317-752-9697 or [email protected].

Participant Information

Guest Type

Registration Options

Register with a deposit ($200) or full payment ($900.00)
Please select to make a deposit or full payment below. This will be paid by credit card.

Coupon Code

Participant Name

Date of Birth

Participant Phone

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Phone Type

Participant Email

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Credit Card Fee

$0.00

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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