Registration

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Select Camp Location*
  • Hinsdale (June 24-28 from 9:00 am - 4:00 pm) The Community House - 415 W. 8th Street, Hinsdale, IL
  • Naperville (July 8-12 from 9:00 am - 4:00 pm) North Central College (Wentz Science Center) - 131 S. Loomis Street, Naperville, IL
Camper's First & Last Name*
Camper's Date of Birth*
Gender*
  • Male
  • Female
School Camper Attends*
Grade Camper is Entering (Fall 2019)*
  • 6th Grade
  • 7th Grade
  • 8th Grade
Camper #2's First & Last Name
Camper #2's Date of Birth
Camper #2's Gender
  • Male
  • Female
Camper #2's T-Shirt Size
  • Adult Small
  • Adult Medium
  • Adult Large
  • Adult XL
School Camper #2 Attends
Grade Camper #2 is Entering (Fall 2019)
  • 6th Grade
  • 7th Grade
  • 8th Grade
If you are registering more than two campers please include your other campers information here. (First & Last Name, Date of Birth, T-Shirt Size, Gender, Grade Camper is Entering, School Camper Attends & Any Medical Conditions)
Emergency Contact (First and Last Name)*
Emergency Contact Phone Number*
The Emergency Contact (above) will be able to be reached by phone within minutes, if an emergency with your camper occurs*
  • Yes
I give permission for my child(ren) to attend and participate in this summer camp and all activities that are included as part of the camp curriculum*
  • Yes
  • No
Can we publish your camper(s) name in marketing and/or newspaper articles?*
  • Yes
  • No
Can we photograph/videotape your child(ren) for marketing or news publications?*
  • Yes
  • No
Does your child(ren) have any medical conditions, allergies or developmental needs?*
During Body Trek campers will be taking a field trip to enhance their camp experience. On the day of a field trip, camp time may start earlier than usual. Specific information about arrival time on field trip day will be emailed to parents/guardians when the days activity schedule is finalized *
  • I understand camp time may differ on field trip day
At times during Body Trek, campers will be divided into smaller subgroups (Odyssey Groups) to work together on creating health skits. If your camper(s) would like to be grouped with a friend also attending Body Trek, please list the name of that camper (ONE other camper - if more than one other camper is listed, we will try and accommodate only the first name listed). We will do our best to accommodate this service, but there are no guarantees. Once camp begins no changes will be made
How did you learn about Body Trek?
Quantity
Price
Total
Registration Fee
X
$
500.00=
$
0

Sponsor a camper ($42.50/day)

Sponsor a Camper - We are excited to offer Body Trek to underserved students in North Lawndale. Your donation helps make this camp possible!

X
$
42.50=
$
0

Final Total:
$
0

Hinsdale Camp Refund Policy 

If registration is cancelled prior to May 24, 2019 a refund will be granted, minus a $25 processing fee.  There will be no refunds after Friday, May 24th. 

 

 

Naperville Camp Refund Policy 

If registration is cancelled prior to June 7, 2019 a refund will be granted, minus a $25 processing fee.  There will be no refunds after Friday, June 7th. 

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments