WAITLIST: 2022 Hume Lake Summer Camp Meadow Ranch - Junior High

Parent Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Cell Phone:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:

Camper Information

• * Camper First Name
• * Camper Last Name
• Camper Cell Phone
• Camper Email
• *

  Camp attending

  • Girls
  • Boys
• *

  Camper grade in 2023-2024 school year

  • 6
  • 7
  • 8

• *

  Camper's School:

  • Miraleste
  • PVIS
  • Ridgecrest
  • Chadwick
  • Riviera Hall
  • Richardson
  • Parras
  • Country Day
  • Home-School
  • Other
• * Camper's Birthdate (MM/DD/YY)
• *

  Is this the camper's first time at Hume Lake Summer Camp?

  • Yes
  • No

• You can request to be in the same cabin with up to 3 friends. We will try our best to honor your request. PLEASE ENTER ONLY ONE NAME PER BOX.

• Friend #1 Full Name
• Friend #2 Full Name
• Friend #3 Full Name

• If you have multiple children attending Meadow Ranch you will be able to register them at the same time. Enter up to 10 additional siblings by clicking on "add" in the Sibling section below.

Sibling Campers' Information

You may add a maximum of 10

IMPORTANT Registration Information

• We will notify you if a spot for Meadow Ranch becomes available. Camp fees are $950 via check or $970 via PayPal (deposit is $300 via check or $310 via PayPal). Campership applications will also be available if a student is in need of financial assistance. Please contact luke@riversouthbay.org with any questions.