bold text indicates a required field

First name: Last name:
Nickname:
Address:
City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP Code: Parent Email:
Birth Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Sex: Male Female

Age (upon arrival): 7 8 9 10 11 12 13 14 15 16 17 Height: Weight:
Buddy name: Grade (in fall):


Name of Parent(s)/Guardian:
Address:
City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP Code:
Home tel: - - Work tel: - -
Cell phone: - -
Camper Shirt size: Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large

Every camper who registers before March 26, 2010 will receive a FREE t-shirt (only one free shirt per camper)

Camper's Church Name and Denomination: Pastor name:
We chose Camp Hanover because:

No. of siblings attending Camp: 0 1 2 3 4 Dates:


1st Choice: 48-hr Mini-Camp 72-hr Mini-Camp Test your Wings Flap your Wings One Week Spread your Wings Read On! Two Week Spread your Wings One Week Middlers One Week Hoofbeats Middler Adventure Scuba Camp MAD for God Camp Exploring Art Let's Get Physical Nail and Sail Senior Sampler Discovery Adventure Camp Advanced Adventure Footsteps... On The Beach Footsteps... Through Creation Footsteps... of service Start: Jun Jul Aug 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010

2nd Choice: 48-hr Mini-Camp 72-hr Mini-Camp Test your Wings Flap your Wings One Week Spread your Wings Read On! Two Week Spread your Wings One Week Middlers One Week Hoofbeats Middler Adventure Scuba Camp MAD for God Camp Exploring Art Let's Get Physical Nail and Sail Senior Sampler Discovery Adventure Camp Advanced Adventure Footsteps... On The Beach Footsteps... Through Creation Footsteps... of service Start: Jun Jul Aug 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010

I would like my child's name to be put on the waiting list if the above choices are not available when this application is received:
Yes No

If a parent/guardian is not available, please notify the following contact:
Relationship to Camper:
Home tel: - - Work tel: - -
Cell phone: - -

The following questions are designed to help camp personnel do a more effective job of grouping and planning for your child?s time at camp.

Your cooperation can help to insure a quality camping experience for the child. Please solicit your camper?s thought as you fill this out, remembering that our program centers around intense small group community living.

Please call us if that would allow you to be more candid and helpful.

What ?away-from-home-overnight-experience? has the camper had other than with immediate or extended family?:
Has the Camper been to residential camp before? yes no
Where? How many summers?
How did the camper feel about the experience?

If there have been any homesickness issues, please give us tips on how best to handle it:

Who lives at home with the child?
Is there an adult at home when the child returns home from school? Yes No
Please describe camper’s personality traits as they relate to her/his full participation in small group community living:

As your camper thinks about the upcoming camp experience, what are the things that excite her/him?
As your camper thinks about the upcoming camp experience, what are the things that concern her/him?
What are the outcomes from this camp experience that you as the parent/guardian hope for your child?
Please share any significant information (in particular, stressful/traumatic occurrences in the past 18 months) or special needs which would help us to understand and work more effectively and lovingly with your child. Please be candid.

By submitting this form you are agreeing to the terms and conditions (opens in pop-up window) of the reservation

After submitting this form you will be presented with the list of available camps.