| Name Camper Goes By: * |
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| Camper's full Name: * |
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| Age (years/Months) by June 1st: * |
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| Date of Birth: * |
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| What Grade is he in right now?: * |
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| Parent's First and Last Name: * |
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| Parent's Phone (Home-h / Cell-c): * |
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| Parent's Street Address: * |
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| City: * |
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| State: |
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| Zip Code: * |
(5 digits) |
| Parent email address: * |
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Facebook / Social Media address (Parent & Son): *
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| Occupation: * |
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| Business Address: * |
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| City, State, Zip: * |
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| Business Telephone Number: * |
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| Church Preference: |
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| Current School: * |
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School Address:
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| Principal's Name: * |
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| Ever attended camp before (if so, where?): * |
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| Brothers who've attended LMC: * |
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| Other family members who've attended LMC: * |
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| Name of LMC Representative (if any): * |
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Enter the Specific Dates of Session desired ( month/day to month/day) : *
If unsure of the dates, please go to " Rates & Dates " tab and select your dates |
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*Cabin Mate Request:
There are a large number of considerations (age, city, grade,
new / old camper, health, separation requests, team assignments,
session length, etc.) in cabin assignments. Cabin assignments are made
for the benefit of your son, his cabin and the camp.
In the event your requests are not met, we appreciate your understanding and support upon arrival.
Although cabin mate requests are taken into consideration...
THE CAMP RESERVES THE RIGHT TO MAKE FINAL DECISIONS ON CABIN ASSIGNMENTS.
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Enter the Security Code (located to the right) into the white box
and then press "Submit": * |
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