2019 Application
Service Times: Saturday 6:00 p.m. Sunday 8:30a.m. & 10:00a.m.
100 Timothy Drive, Elizabeth, PA 15037 412-751-0511

2019 Application

Please fill out form below for part 1. Print this document for part 2 and part 3.

Camper's Name:
Camper's Age:
Camper's Address:
Parent/Guardian Contact:
Contact E-mail:
Contact Phone:
CHCUMC Association:
Camp of Interest:
Word Verification: