Form - Hartland Christian Camp

Individual Registration - Winter

Please complete the form below to register an individual camper.

Select Event *

Camper Name *

First

Last

Gender *

Male
Female

Date of birth *

Parent or guardian name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Requested cabin mate(s)

What prompted you to register for this event? *

Receive email updates from Hartland

Yes, keep me updated

Comment