NEW Air Conditioning:
All Boys and Girls cabins are air-conditioned
FOR TOURS of CAMP:
PLEASE CALL 954 665 8686 TO SCHEDULE A TOUR
Skip to content
Home
A Day at CBR
Activities & Facilities
Photo Albums
Staff Info
Dates & Rates
Retreat Center
Our Facility
Dining Options
Outdoor Space
Contact-more info
Request More Info
Meet the Directors
Pay Fees
2020 ENROLLMENT APPLICATION
2020 ENROLLMENT APPLICATION
I hereby enroll my (son) (daughter),
First Name
Last Name
who's age is
and birthdate is
in one of the following camp session(s) subject to the conditions of Camp Blue Ridge.
Select One:
SESSION A: SUNDAY, JUNE 14, 2020 to FRIDAY, JUNE 26, 2020
SESSION B: SUNDAY, JUNE 28, 2020 to SATURDAY, AUGUST 1, 2020
SESSION C: SUNDAY, JUNE 14, 2020 to SATURDAY, AUGUST 1, 2020
PLEASE FILL OUT ALL INFORMATION & FIELDS
Full name of parent or guardian whom child lives with
Email
Home Address
City
State
Zip
Phone
Fax
Cell
Father’s Office-Name of Business
Address
Phone
Cell
Email
Mother’s Office-Name of Business
Address
Phone
Cell
Email
Emergency Contact (If parents cannot be reached) Name
Phone
Email for Summer Communication
Medical Insurance Company
Policy #
Camper Profile
Child's Gender
Allergies
Tell us about your Child
Activity Interest
SCHOOL
AND
Current Grade (must be accurate for proper bunking)
Bed selection upper or lower:
Years at Camp Blue Ridge excluding upcoming summer:
You may request that your child be in a cabin with a friend. Please request only 1 since multiple choices may not be granted.
Friend's Name
(Friend must request too. It is not always possible to keep requests confidential.)
BY FILLING OUT THIS APPLICATION YOU ARE AGREEING TO ALL
TERMS AND CONDITIONS