Sojourners Camper Application

Camper Name*
First Last
Gender*
Parent or Guardian Name*
First Last
Your Address*
Street Address City State Zip Code
Primary Phone Number*
Primary Email*
Secondary Contact*
Is there a secondary contact person or information? (*We recommend to have a secondary contact person/information)
- Yes
- No
Secondary Contact Name
First Last
Secondary Phone Number
Secondary Email Address
Your Birth Date*
Age*
Now Completing Grade*
Church or Faith
Your Church, Denomination or Faith, if any.
Been a youth camper at Christikon before?*
- Yes
- No
Boarding Bus at*
If you plan to ride the camp bus, indicate where you will be boarding. Select "No Bus" if you will get to the camp another way.
- Billing
- Laurel
- Columbus
- Big Timber
- No Bus
Any dietary restrictions?
Provide the following information for the referring Person or Agency.
Referring Person or Agency Name*
Referring Person's Address*
Street Address City State / Province / Region ZIP / Postal Code
Referring Person's Phone Number*
Referring Person's Email*

Join the Paper Mailing List

Use this form to be added to our mailing list for receiving news and information about Christikon in printed form via US Mail Service. This form is for mailing list ONLY.

Name*
First Last
New / Update*
Is this new information or updating an existing contact info?
- New
- Update
Address*
Street Address Address Line 2 City State ZIP Code
Phone
Email

SESSIONS	LOCATION	DATES	NIGHTS	AGE GROUP
Work Weekend	On-Site	May 22-25	3	Family/Adult Session
CLC Leadership Training	On-Site, By Interview Only	June 14-18	4	Completed Grades 9-12
Adults with Developmental Disabilities	On-Site	June 15-18	3	18+
Sojourners	On-Site	June 21-27	6	Ages 11-13
Wayfarers 1	Base Camp Trails	June 21-27	6	Completed Grades 6-8
Mountaineers 1	Trails	June 21-27	6	Completed Grades 9-12 and/or Adults
Prospectors 1	On-Site	June 21-27	6	Completed Grades 6-8
Pathfinders	On-Site	July 5-8	3	Completed Grades 4-6
Contemplative Retreat	On-Site	July 5-8	3	18+
Prospectors 2	On-Site	July 11-17	6	Completed Grades 6-8
Wayfarers 2	Base Camp Trails	July 11-17	6	Completed Grades 6-8
Mountaineers 2	Trails	July 11-17	6	Completed Grades 9-12
Trailblazers	On-Site	July 19-25	6	Completed Grades 9-12
Wayfarers 3	Base Camp Trails	July 19-25	6	Completed Grades 6-8
Mountaineers 3	Trails	July 19 - 25	6	Completed Grades 9-12
Mountaineers 4	Trails	July 27 - August 2	6	Completed Grades 9-12
Backpack Adventures	Trails	July 27 - August 2	6	Couples, families, youth, adults...
Continuing Education Retreat	On-Site	July 28-31	3	Family/Adult Session
Mountain Weekend	On-Site	July 31 - Aug 2	2	Family/Adult Session
75th Anniversary and Former Staff Reunion	On-Site	Aug 2 - 5	3	Family/Adult Session
Contemplative Retreat	On-Site	Sept 18-24	1-7	18+
Songs of Christikon	On-Site	Sept 25-27	2	18+
Backpack Opportunity	Trails	Sep 6 - Oct 3	Contact Director	Couples, families, youth, adults...

Sojourners Camper Application

Provide the following information for the referring Person or Agency.

Join the Paper Mailing List