Dates: August 8-20, 2010
Place: Oceanwood, Ocean Park, ME
Registration: 2:00-4:00PM Sunday, August 8th
Pick Up: 3:00PM Friday, August 20th

Cost of CYC:
Registration Fee: $100 (due upon completion of this form; $115 after July 1st)
Remaining Camp Fee: $610 (to be paid via cash or check on or before August 16th)
Total Cost: $710 ($725 after July 1st)

Age Requirement: You must have completed the 9th grade by August 2010.

 

To register for CYC 2010, please complete the following form. When finished please click on the 'Submit Registration' button, at which point you will be redirected to PayPal to pay the $100.00 registration fee.

 

Please note that all fields marked with an * are required.



Camper Information
First Name:  *
Last Name:  *
Address:  *
City:  *
State (abbrev):  *
Zip Code:  *
Phone Number:  - - *
Email Address:  *

Date of Birth:  *
Grade:  10 11 12 Out of High School *
(as of Sept. 2010)
Sex:  Female Male *
Year at CYC:  1 2 3 *
Desired T-shirt Size:  Small Medium Large XL XXL *

Name of Parent/Guardian:  *
Parent/Guardian Email:  *

Did someone who has already attended CYC encourage you to attend? If so, please list the name of the one person most responsible for encouraging you to attend:
 
(please enter only one name)

Church Information (if applicable)
Church Name: 
Church Address: 
Church City: 
Church State (abbrev): 
Church Zip Code: 
Church Phone Number:  - -
Church Scholarship Amt: 
(if applicable)
Name of Pastor: 

NOTE: This registration form is only valid if you follow the instructions on the next page and pay the $100 registration fee via credit card through PayPal.


CYC offers a list of financial resources, as well as aid for those who qualify. This information can be found on our scholarship page.


Have questions about our registration process? Please feel free to contact our Director of Recruitment, Matt Miller, at recruit@cycop.org.