Camp Registration

Family Camp (June 26-29, 2025)

Family Information
Head of Household Name*
First Last
Spouse's Name
First Last
Additional Family Members
Name Age Gender

Add additional family members using the checkbox on the right.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Secondary Phone
Email*
Additional Information
Message/Comments
Please feel free to send any comments or questions along with this registration.
Event Information
Event Options*
($350 base fee)
- Private Cabin – (13 spots left)
Adults*
$110 per adult

Select the number of adults (individuals 13 years of age or older) attending.
Please enter a number greater than or equal to 1.
Children*
$75 per child

Select the number of children (individuals between the ages of 5 and 12 years old) attending.
Please enter a number greater than or equal to 0.
Infant/Toddler*
FREE

Select the number of infants/toddlers (4 years of age or younger) attending.
Please enter a number greater than or equal to 0.
Billing & Payment
Payment Options*
- Register and pay in full
- Register and reserve spot ($150 deposit)
Subtotal
Sales & Tourism Tax
Arkansas State Sales and Tourism Tax (10.5%)
TOTAL
Payment Amount
Price: $0.00
Payment Amount
Price:
BALANCE DUE
$0.00
DEPOSIT
$0.00
Coupon Code
REMAINING BALANCE
The remaining balance represents the total amount minus your $150.00 deposit. The remaining balance is due in full 3 weeks prior to your event date.
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Acknowledgement*
Yes, I acknowledge I have read the cost and payment terms, cancellation policy, and privacy policy and by submitting this registration I agree to the terms and conditions of use.
A confirmation packet will be emailed within two weeks. Specific instructions for check-in and check-out, what to bring, and directions to camp will be included.
CAPTCHA

Name	Age	Gender

Camp Registration

Family Information

Additional Information

Event Information

$110 per adult

$75 per child

FREE

Billing & Payment