Partner Church Student Registration

Submit - Camp Partner Church Student Application

Church Attending *

If your church is not listed, please contact us at Students@CedarCreek.tv before completing this registration.

Which Student Camp?

Student First Name *

Student Last Name *

Street Address *

City *

State *

Zip Code *

Student Phone Number *

Birthdate *

Gender *

Year in School (Fall of 2022)

Shirt Size *

Parent First Name *

Parent Last Name *

Parent Email *

Parent Emergency Number *

If you are human, leave this field blank.