Camp Haven on the Road - City Church 2026

Camp Haven on the Road - City Church

We've packed up our games, activities, devotionals, counselors, and we're bringing them to you. We're excited to embark on this new adventure to bring, excitement, fun, and the love of Jesus to your children. We cannot wait to do camp with you!
Family Information
Parent/Guardian's Name*

First NameLast Name
Contact Phone Number*
Format: (000) 000-0000.
E-mail Address*
example@example.com
Parent/Guardian's Name

First NameLast Name
Contact Phone Number
Format: (000) 000-0000.
E-mail Address
example@example.com
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Format: (000) 000-0000.
Relationship to Student*
Please List Everyone Who Can Pick Up Your Camper(s)

Camper Information
Child Name*

First NameLast Name
Desired Name*
Completed Grade by Summer*
Birth Date*

MonthDayYear
Sex*
YesNo
Friend Request (limit to one friend)
If your child has a friend they would like to be grouped with, please list them here.
- Child Name
  
  First NameLast Name
- Desired Name
- Completed Grade by Summer
- Birth Date
  
  MonthDayYear
- Sex
- YesNo
- Friend Request (limit to one friend)
  If your child has a friend they would like to be grouped with, please list them here.
- Child Name
  
  First NameLast Name
- Desired Name
- Completed Grade by Summer
- Birth Date
  
  MonthDayYear
- Sex
- YesNo
- Friend Request (limit to one friend)
  If your child has a friend they would like to be grouped with, please list them here.
- Child Name
  
  First NameLast Name
- Desired Name
- Completed Grade by Summer
- Birth Date
  
  MonthDayYear
- Sex
- YesNo
- Friend Request (limit to one friend)
  If your child has a friend they would like to be grouped with, please list them here.

Select All that Apply

Deposit

$50.00 Quantity

Camp Haven on the Road

Full-day for completed 2nd grade through completed 6th grade

$200.00 Quantity

Cub Camp

Half-day for 4 years old through completed 1st grade

$100.00 Quantity

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Camp Haven on the Road - City Church