Fully Refundable Security Deposit required to hold your place at camp. 

Please note that a $25 deposit is required per camper at the time of registration. The deposit is fully refundable if you cancel prior to May 10, 2019 or at any time if you provide a signed doctor’s note.

 

Remember, EACH camper must register separately.

Quantity
Price
Total
Select Quantity 1
X
$
25.00=
$
0

Camper Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email for ALL Camp Correspondence*
Confirm Email*
Phone*

Please provide the information listed below so that we may serve you and guide you to the resources best suited to your needs.

 

All information is kept strictly confidential and for use within the LFA Heartland network. Your information will not be sold or given out to third parties.

Camper T-Shirt Size*
  • Adult Small
  • Adult Medium
  • Adult Large
  • Adult X-Large
  • Adult XX-Large
  • Adult XXX-Large
Camper Date of Birth (Entry format: 01/01/1900)*
Rheumatologist

Payment Information

Amount*
$
Name on Card*
Card Number*

Security Code