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Who We Are
Camps
Education
Leadership
Our Kids
FAQs
Contact
Donate
Sign-Up for the Wheaton, IL Camp Today!
We will contact you when we receive your form.
Please submit at least one week prior to camp start date.
Camp Location
*
Wheaton Camp
Wheaton, IL
Camper Name
*
First Name
Last Name
Camper Date of Birth
*
MM
DD
YYYY
Gender
*
Male
Female
Non-binary
Prefer not to say
Camper T-shirt Size
*
choose one size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Parent / Guardian Name
*
First Name
Last Name
Cell
*
(###)
###
####
Home Phone
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Physicians Name
*
First Name
Last Name
Physicians Phone
*
(###)
###
####
Diabetes Diagnosis
*
Pre
Type 1
Type 2
Emergency Contact
First Name
Last Name
Emergency Contact Phone
(###)
###
####
Thank you for signing up!
