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Lake Chautauqua Lutheran Center
Lake Chautauqua Lutheran Center, Inc. is a year-round center for outdoor ministry.
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The LCLC Auction
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/ Summer Registration
Summer Registration
1
Program Choice
2
Camper Information
3
Parent/Guardian Information
4
Discounts & Extras
5
Review
Program Choice (Mini Camp Boys, Classic 1 Boys, & Classic 4 Boys Filled)
*
Select One
Mini Camp $220 Week #4
Classic Youth Camp $4010 Week #1
Classic Youth Camp $410 Week #4
Classic Youth Camp $410 Week #6
Night Owls $420 Week #6
Sailing I&II $440 Week #2
Sailing II $430 Week #6
R.A.T.S. $720 Weeks #1-2
Senior High Week $430 Week #5
Leaders In Training $730 Weeks #2-4
Confirmation Camper $400 Week #3
Confirmation Camp Adult $295 Week #3
Total
$0.00
Camper Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Gender
*
Male
Female
Age
*
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade completing in June 2018
*
Please enter a value between
1
and
12
.
Cabin Buddy Request
(Only one. Requests must be mutual.)
Home Congregation
(i.e. First Lutheran, Jamestown)
Pastor
Parent/Guardian Information
Name
*
Mrs.
Ms.
Mr.
Prefix
First
Last
Address
if different from above:
Street Address
Address Line 2
City
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Email
Cell/Day/Work Phone
*
Discounts & Extras
Please check all that apply. Please see the "Discounts for You" section of our brochure for more details.
Early Bird
Payment in full must be received before 4/1/18. $10 off/Mini Camper; $15 off for all other programs.
Early Bird
Early Bird (Mini Camp)
Payment in full must be received before 4/1/18. $10 off/Mini Camper; $15 off for all other programs except Confirmation Camp.
Early Bird (Mini Camp)
Bring A Friend
$100 of your registration fee when you recruit and bring a new camper to LCLC. $50 off for Mini Camp. Does not apply to Confirmation Camp or siblings. New camper must register and actually attend a week of camp.
Bring A Friend
Bring A Friend (Mini Camp)
$100 of your registration fee when you recruit and bring a new camper to LCLC. $50 off for Mini Camp. Does not apply to Confirmation Camp or siblings. New camper must register and actually attend a week of camp.
Bring A Friend (Mini Camp)
Friend's Name
Family
$15 off for each additional child after the first, who also registers for a program. **First child to register does not receive this discount.
Number of Siblings
One Sibling - After 1st
Two Siblings - After 1st
Three Siblings - After 1st
Four Siblings - After 1st
Five Siblings - After 1st
Siblings Name(s)
Double Dose Program Choice
$20 off second program's full fee
Select One
Mini Camp $195
Classic Youth Camp Week 1 $380
Classic Youth Camp Week 4 $380
Classic Youth Camp Week 6 $380
Night Owls $390
Sailing I $410
Sailing II $410
R.A.T.S. $700
Senior High Week $400
Leaders In Training $700
Camp Store Advance
*
0
$1
$2
$3
$4
$5
$6
$7
$8
$9
$10
$11
$12
$13
$14
$15
$30 (for RATS and LIT only)
Camper Photo
Camper Photo
Total
$0.00
Review
Please review your information to ensure accuracy. If you need to make any changes, please do so before clicking Add to Cart.
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