Hume Lake Winter Camp HSM dates - January 17 - 20 / ELEVATE dates February 14 - 17 To sign up,1. Please complete the form below for each student you are registering.2. Complete payment for all student’s you are signing up at the bottom of this page Student Name * First Name Last Name Student Age * Gender * Male Female Registering Parent / Guardian's Name * First Name Last Name Parent's Email Address * Address * Which Camp Are You Interested In? * - please select High School Middle School Medical Insurance Company * Policy Number * Emergency Contact * First Name Last Name Contact # * (###) ### #### Please List Any Allergies if applicable. Are There Any Conditions That Might Hinder Your Student From Participating In Activies? Parent / Guardian Signature * Thank you for registering your student. If you have more student's to register, hit refresh and complete the form again. Once all student's are registered, Please complete your sign up by paying for all student's at the bottom of this page.If you are unable to complete payment at this time, please reach out to Jared Dilibero at jdilibero@creeksidechurch.comThank you! Pay Here High School Tickets sold out High School Hume Lake Ticket $590.00 Add To Cart Middle School Tickets Middle School Hume Lake Ticket $590.00 Quantity: Add To Cart