Camp Whitley Forms

Staff Application Form Click to Download. Click Here for a 2012 Application Form & 2012 Application Terms Click Here for a 2012 Parent Guide Click Here for our Camper Health History Form Click Here for our Camp Whitley 5K Run Entry Form (.pdf)
2012 Online Registration Form Please complete all blanks below. Incomplete applications will not be processed. If you'd rather use the printable form, please click here to download and print it. Camping sessions: Please indicate camping session(s) of choice. If a choice is not indicated the camper will be placed in the appropriate age and gender group. Camping ages are recommended as activities for each session are based on age. Boys 7-9 June 17-23 Boys 10-11 June 24-30 Boys 12-14 July 1-7 Girls 12-14 July 8-14 Girls 10-11 July 15-21 Girls 7-9 July 22-28 Camp Whitley Fees: $285.00 one week one camper $275.00 each additional family member Campers choosing to attend for 2 weeks need only pay $235 for the 2nd week $100.00 nonrefundable deposit required Make checks payable to Camp Whitley, Inc. and send to Camp Whitley, P.O. Box 845, Columbia City, IN 46725 (Cash, check or money order only - we do not accept credit cards) I will send the full amount of $ to the address below. I will send my registration deposit of $100.00 to the address below. I understand the balance due is payable one week prior to my child's session. I am requesting a family discount be applied to my second/third child. (Be sure to list the other family members attending Camp Whitley in the siblings name box below). I am interested in information about scholarships for my child. I will send my $50.00 non-refundable deposit to the address below (this deposit is REQUIRED for all scholarship applicants). Camper information Camper Name New Camper? YN Camper Mailing Address (address, city, state, zipcode) Age at Camp Gender MF Grade/School Last Attended Years @ Camp (including this year) Parent / Guardian Name Parent / Guardian Home/Cell Phone Parent / Guardian Email Address One Choice of Cabin Mate Specific Cabin # Request Full Names and Ages of Siblings Attending Camp Whitley Family discount must be noted on registration form. Discounts will not be given on registration day. Mailing address: Mark Parker, Camp Director P.O. Box 845, Columbia City, IN 46725 Questions: (260)244-3608 before June 1 - (260)799-5587 after June 1 Email:

2012 Online Registration Form