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Word of Life Camp Student Registration

Camper Information

First Name

Last Name

Phone Number

Grade in Fall 2026

Birthday

Home Address


Parent/Guardian Information

First Name

Phone Number

Last Name

Email


Additional Information

Cabin Mate Requests

Each camper can request 2-3 Cabin Mates to room with during camp. Although we can not guarantee each request, we will make sure our campers has at least one Hoboken Grace cabin mate.

Additional Comments

Please note anything you would like us to know.