Complete the Registration Form, carefully marking the session(s) desired.
Please submit a separate form for each child you are registering. Registrations may be submitted in one of three ways;
  • you may submit this form online, and a representative from camp will contact you to complete a credit card transaction over the phone. We accept Visa, Mastercard, Discover or American Express.
    OR
  • you may print this form and fax it to (269) 244-5000. Be sure to include your credit card number, expiration date, and 3 digit security code.
    OR
  • you may print this form and mail it with a check made payable to YMCA Camp Eberhart to;
       YMCA Camp Eberhart
       Summer 2010 Registrations
       10481 Camp Eberhart Road
       Three Rivers, MI 49093
The registration must be accompanied by a non-refundable deposit of $100 per week of camp plus the total fee for special programs. The deposit will be applied to camp fees. The balance is due May 1. (If you are registering after May 1, the total fee must accompany the registration. There will be a $25 late fee if payment is received after May 1.)

Once registered, you will receive a letter of confirmation and a Parent Information Packet.
Please note: All specialty programs are subject to space availability. If a popular session is already filled, you will be put on a waiting list, and contacted about your options.
Birthdate: Age When Attending Camp: Sex: MF
Camper's Full Name:
Address:
City:State:Zip:
Parent/Guardian:
Email Address:
Home Phone: Cell Phone:
Bunkmate Name:
(We will attempt to accommodate up to 2 bunkmates of same age/gender)
If you want to make payments through our EZ payment plan, please check here (before April 1)
Please bill me monthly.
Charge my credit card monthly.


PERMISSION RELEASE STATEMENT: I certify that the proposed camper is in normal health and subject to ordinary camp discipline. I understand that the minimum of $100 per week non-refundable deposit is included in the camp fee, and that my child's camp week will only be guaranteed upon receipt of this deposit. In addition, I understand that my child may be photographed, and give consent to use these photos to promote future YMCA programs.

Please click on this field to affirm
that you have read the PERMISSION RELEASE STATEMENT


Summer 2010
PROGRAM OFFERINGS
Please check the weeks you 
will be attending
6/20
6/27
7/4
7/11
7/18
7/25
8/1
8/8
 
Cost A
1st Child
1st Session
Cost B
2nd Child
2nd Session
TOTAL
Traditional Resident Camp
1
2
3
            
$503
$460
 
Three Day Resident Camp
1
2
3
           
$382
$349
 
Traditional Resident Camp
     
4
5
6
7
8
 
$566
$518
 
Counselors-In-Training*    3-5
 6-8
  
$1097**
.. .
*Must apply for acceptance into the CIT program. **Per 3-week session
SPECIAL PROGRAMS (with fees in addition to Traditional Resident Camp Fees)
Water Skiing/Wakeboarding
(all ages)
1
2
3
4
5
6
7
8
 
$120
$120
 .
Horseback Riding
(ages 9-16)
1
2
3
4
5
6
7
8
 
$135
$135
.
Horsemasters
(ages 10-16)
1
2
3
4
5

6
7
8
  
$170
$170
.
Tower Challenge
(ages 9-16)
1
2
3
4
5
6
7
8
 
$50
$50
.
High Challenge (2 periods)
(ages 13-16)
1
2
3
4
5
6
7
8
 
$60
$60
.
Astro Camp (2 periods - afternoon)    
4
     
$60
$60
.
 These programs are on a first come, first served basis.
Special programs are very popular. To ensure a spot, please register early and pay for them with your registration deposit.  If they are full, you will be notified on your fees statement that you are on a waiting list, and your fees will be credited to your store account. After May 1, the total fees are due with your registration. Registrations are taken as long as there are openings. Store Deposit
(we recommend approximately $50 per week)
TOTAL FEES .

If you know of someone who would like to come to camp but is in need of financial assistance, our special "campership" may be available. Contact Camp Eberhart at 1-888-YCAMPEB or (269) 244-5125. Applications must be submitted by April 1.

Would you please contribute to help bring disadvantaged youth to camp?
Please give what you can to help with camperships:


	$100
	$50
	$25
	      Thank you!

ALL REFUNDS WILL BE PROCESSED WITHIN 6 WEEKS OF THE END OF THE SUMMER, ONCE THE BOOKS HAVE BEEN CLOSED. PLEASE EXPECT ANY REFUND NO EARLIER THAN LATE SEPTEMBER

If you need assistance or have questions about this form, please contact
Camp Eberhart -- we'll be happy to assist you:

Phone (269) 244-5125
FAX (269) 244-5000
Toll Free (888) 922-6732
e-mail: officeeb@aol.com
Return to main page