Summer Camp Reservation 

This is an initial registration to reserve a spot on the camp. To complete your registration, please click to download the complete application. Fill it out and submit it to the Summer Camp Director at ICUC. Click here to Reserve and Pay Today

Camper Name *
Camper Name
Gender *
Date of Birth *
Date of Birth
Address *
Address
Phone *
Phone
Parent/Guardian Name *
Parent/Guardian Name
Address if different than camper
Address if different than camper
Cell Phone *
Cell Phone
Work Phone
Work Phone
Best way to contact you
Emergency Contact *
Emergency Contact
Cell Phone *
Cell Phone
Work Phone *
Work Phone