Online Camper Application

This screen is for initial camper application. If you choose to only pay the deposit and not the full payment at this point, you will have to mail us your final payment, or call Ammi at 423-648-7936.

Do you have a partially completed, saved application? Retrieve it with your unique password. If you don't know it, please email

Getting started...
When you save your application, a unique password will be supplied so that you can retrieve your application at a later date (useful if you start it now but want to continue later).
1. Camper information
Full Name
Date of Birth (eg: 2000-12-31)
Gender Boy   Girl
Current School
Grade in Fall '18
Are you a New Camper   Returning Camper
T-shirt size Youth: S   M   L
Adult: S   M   L   XL
Periodically throughout this application you'll be reminded to save your work.
If you need to continue it another time, you can retrieve it at the top of this page.
2. Choose your group, session and activities
Which session would you prefer?
Session 1 – June 11 - 16 (rising 3rd-6th graders)
Session 2 – June 18 - 23 (rising 3rd-6th graders)
Session 3 – June 25 - 30 (rising 7th-10th graders)
Session 4 – July 9 - 14 (rising 3rd-6th graders)
Session 5 – July 16 - 21 (rising 3rd-6th graders)
Session 6 – July 23 - 28 (rising 7th-10th graders)
Cost for each session is $525.
Rank your top 7 choices, "1" being your most preferred. Spaces in each are limited. You will be assigned to your top two activities depending on availability. A camper will not be given the same activity twice and will only be given one water-related activity.
Activity Sampler
Bouldering Gym
Dance (girls only)
Frisbee Sports
Kayaking & Paddleboards
Pavilion Sports
Swim & Watermats
Sand Volleyball
Water Ski (If assigned to this, an additional $25 will be added to your invoice.)
3. Family information
Camper lives with Both Parents   Father   Mother
  Other, please specify:
Primary Parent Information
Full Name
Relationship (eg: Mother, Father, Uncle)
Address 1
Address 2
Cell Phone or Pager
Church / Religion
Secondary Parent Information
Full Name
Relationship (eg: Mother, Father, Uncle)
Address 1
Address 2
Cell Phone or Pager
Is anyone prohibited from picking up your camper?
4. Cabin request (optional)
Cabins are assigned according to age, gender, and mutual request. You may list ONE buddy request. Please do not form a chain request.
Buddy Request
(max 30 characters, one name only please)
5. Other camper information
This valuable information can assist our staff in allowing your child to make a smooth, happy adjustment to camp. Our commitment is to never misuse such information or release it to unauthorized persons. Please answer the following questions thoroughly.
Do any of the following apply to your camper?
Homesickness   Bedwetting   Sleep-walking   Behavioral Concerns
Does your child have a chronic condition or illness? If yes, explain...
Does your child have diabetes? Yes No
Does your child carry an EpiPen? Yes No
Does your child have asthma? If yes, explain...
Do you have any other concerns (family, physical or activity limitations) that you would like us or your child's counselor to be aware of:
6. Payment information
$100 deposit is required for registration.
Rest assured that you are viewing this web page on a secure, encrypted connection designed to protect credit card information being transmitted over the internet. If in doubt, look for the padlock symbol in your browser and click on it for details. Also note that this web page's address starts with https:// (the 's' means 'secure').
All fields required...
Card Holder Name:
Card Number: (no spaces or dashes)
Expiry Date: / 20 (Must be valid!)
Billing Street:
Billing Zip: (eg: 30707)
Charge Amount: $ (amount you want to pay at this time, minimum $100)
Card Type: MasterCard  Visa   American Express
CVV Code: (3-5 digits on back of card)

Any amounts of payments can be made towards your balance by calling the camp office.

I have read and understand the Cancellation & Refund Policy:

(type your name to sign electronically)

Final step...

How did you hear about CVP?

Are you ready to submit your application?
Have you thoroughly checked your information? If so, please click below...

Enter your email address to receive a receipt for your application: