Sarah Pirtle and the Discovery Center

Online Registration (2022)

Submit your registration to Journey Camp by using the online registration form below, or by printing out our printable registration form (pdf) and mailing it with your deposit.

    Journey Camp Registration

    1. Name of Child

    First name:
    Last name:
    Pronoun info: she/herhe/histhey/them

    2. Grade

    Grade they will be entering in Sept 2022:

    3. Age

    Age as of June 2022:

    4. Names of Parent(s) or Guardians

    5. Important

    Have you read the Notes to Parents?

    How did you hear about Journey Camp?

    6. Contact Information

    Parent 1
    Mailing Address (with Zip):

    Email:
    Home Phone:
    Work Phone:

    Parent 2
    Mailing Address (with Zip):

    Email:
    Home Phone:
    Work Phone:

    7. Payment

    Please enter the total amount you are paying for the session: $

    Choose One

    Finances: Please make a contribution toward our scholarship fund if able.
    Are you sending a letter to apply for a partial scholarship?

    8. Support at Camp

    Please reply below or email a longer letter.

    a. Any medical, physical, health needs such as food allergies, medications, or special physical needs or restrictions?

    b. We want every camper to have our support. Are there any current issues or needs we should be aware of?

    c. What assistance will your child need in following the conduct code?

    d. If you have a younger child, please look at the Six Readiness Questions in Notes to Parents. Also, do they have support from a friend or sibling? If coming with a play-date friend, will they be ready to engage with the whole camp community?

    NOTE: Email registrations are not complete until the $50 registration fee is received. Please send $50 for each child and each session. It goes toward the final fee.