CHP Registration

Registration Form

This is a registration form for people who wish to reserve a spot on one of our trips
and pay the $1000 deposit. Please do NOT use this form to request information on
our trips. Please email info@camphighplaces.com for info. This form may only be
completed by a parent or guardian or with their permission.

Campers First Name

Campers Last Name

Campers Date of Birth

Campers Age (As of June 20th, 2008)

Parent/Guardians Name

Street Address

City

State/Region

Zip/Postal Code

Country

Home Phone Number

Cell Phone Number

Other Phone Number

Fax Number

Parent/Guardians Email

Campers Email
(Minors are only contacted with parental permission)

Where did you hear about us?
(please choose carefully)

Referral Details
(Who referred? Other way you heard)

Which trip would you like to attend?
Our trips include Airport pick up, transportation, meals, lodging and activities.
The East Coast Trip is our 2 week trip
Please remember that we require a $1000 per person per trip deposit.

East Coast Adventure (7/1-7/15)

$2,399

East Coast Adventure (7/17-7/31)

$2,399

East Coast Adventure (8/2-8/16)

$2,399

Contact Person (if parents aren't available)

Relationship

2nd Contact Phone

Contact Person (if parents aren't available)

Relationship

3rd Contact Phone

How does your camper feel about attending?

Comments

Acknowledgement of Risk: click "?" to read and check the box below to agree.

I have read the "Acknowledgement of Risk" and agree.

How would you like to pay your $1000 deposit?
(Credit cards charge high fees please help us keep our cost down by paying by cash or check)

Campers T-shirt Size
(You get a free T-shirt on the trip)

Would you like additional T-Shirts, Buffs, or Mementos?

After you press submit you will be prompted to pay a deposit or pay for entire trip by credit card (however we prefer checks from USA campers). Please follow the links if you are electing to pay with a credit card Trip Spots cannot be held without a deposit. Balance is due before the trip. Please see cancellation policy before you pay. Whether you are paying by credit card or not you should follow links to download the paperwork required by all campers. All campers should download this paperwork useless you request to have it mailed.
Thank you.

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