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Young Adult Camp: Individual Registration
Please complete the form below to register as an individual. To learn more about group registration please visit "Group Registration" on the corresponding event page. Note: This form is not designed to make an online payment. We prefer to contact you personally to discuss the details of your registration, answer any questions you may have, and secure your deposit. Please feel free to give us a call anytime (559) 337-2349.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select 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
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Nevada
New Hampshire
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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
State
Zip Code
Phone
*
Email
*
Cabin Mates:
Is there a particular individual with whom you would like to share a cabin?
What prompted you to register for this event?
*
Online Search
Radio Ad
Mailer
Social Media
Friend/word of mouth
Received a phone call
Other
Receive email updates from Hartland
Yes, keep me updated
Would you like to attend the Winter or Summer event?
Winter
Summer
How many night would you like to stay?
*
Two Nights (Fri-Sun)
Three Nights (Fri-Mon)
Select a lodging option:
*
Deluxe - Private bath, linens provided
Semi Deluxe - Shared bath, linens provided
Eagles Perch/Robins Nest - Private bath, bring your own linens, towels, etc.
Cabins Plus - 1/2 bath, central bathhouse, bring your own linens, towels, etc.
Cabins - Central bathhouse, bring your own linens, towels, etc.
Email
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