Summer Camp Registration Form

Camp Hope 2025 Registration Form

To secure your campers spot at Camp Hope please complete this Registration Form.
Welcome to the Camp Hope online registration form!

Please have the following information handy prior to completing this form:
- Basic information about each camper and the parent/guardian information.
- The weeks of camp each camper is interested in.
- A credit card for registration fee payment (check/alternate payment methods are available as well).
Has your camper(s) been with us before?*

YesNo
When was the last year your camper(s) attended?*
How many campers are you registering?*
$40 registration fee. ($55 for 2 siblings).
Your email*
example@example.com
Camper's Name*

First NameLast Name
Camper nickname or preferred name
Camper Gender*

MaleFemale
Birthdate*

MonthDayYear
Camper's Primary Phone*
Please enter a valid phone number.
Camper Address*

Street Address

Street Address Line 2

CityState

Zip Code

Camper T-Shirt*
Camper1TShirt
Parent/Guardian #1*

First NameLast Name
Is the parent/guardian address the same as the camper?

YesNo
Parent/Guardian #1 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian #1 Primary Phone*
Phone Type*

CellHomeWork
Parent/Guardian #1 Alternate Phone
Phone Type

CellHomeWork
Parent/Guardian #1 E-mail
example@example.com

Add Another Parent/Guardian
Parent/Guardian #2

First NameLast Name
Is the parent/guardian address the same as the camper?

YesNo
Parent/Guardian #2 Address

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian #2 Primary Phone
Parent/Guardian #2 E-mail
example@example.com

Add Another Parent/Guardian
Parent/Guardian #2

First NameLast Name
Is the parent/guardian address the same as the camper?

YesNo
Parent/Guardian #2 Address

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian #2 Primary Phone
Parent/Guardian #2 E-mail
example@example.com

Add Another Parent/Guardian
Parent/Guardian #2

First NameLast Name
Is the parent/guardian address the same as the camper?

YesNo
Parent/Guardian #2 Address

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian #2 Primary Phone
Parent/Guardian #2 E-mail
example@example.com

Add Another Parent/Guardian
Parent/Guardian #2

First NameLast Name
Is the parent/guardian address the same as the camper?

YesNo
Parent/Guardian #2 Address

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian #2 Primary Phone
Parent/Guardian #2 E-mail
example@example.com

Registration Confirmation & Payment
Total Registration Amount
USD
Campers Registered - Form Calc
Tshirts selected
Payment method*

Credit Card - continue belowA check in the amount displayed above will be mailed to: The Arc of Essex County, ATTN: Camp Hope 123 Naylon Ave. Livingston, NJ 07039
I acknowledge that the registration will not be processed until the check is received by The Arc of Essex County.
Registration Fees Calculated Field - Hide this in production
T-shirts Calculated Field - Hide this in production

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