Register for camp.

One form per camper. A $100 deposit holds the spot, and we confirm by email within two business days.

Camper registration

Fields marked * are required.

Which session?

Adult Camp — June 13–19 · $99/night double occupancy or $125/night single occupancy Valleywide 1 — June 20–26 · $475/camper Drama Camp — June 27–July 3 · $560/camper Family Camp — July 4–10 · Adults $75, teens $50, children 4–11 $30 per night; ages 3 and under free Senior High Paddle — July 11–17 · $560/camper Valleywide 2 — July 18–24 · $475/camper Middle High Paddle — July 25–31 · $560/camper

For Adult Camp or Family Camp, please include your preferred three-night or full-week stay in the notes below. For Adult Camp, also specify single or double occupancy. For Family Camp, list accompanying family members and their ages.

Camper first name *

Camper last name *

Rising grade *

Camper date of birth *

Parent or guardian

Full name *

Email *

Phone *

Mailing address *

Allergies, medications, or dietary needs

Anything our health officer and kitchen should know before arrival. Medical forms are sent after registration.

Send me camp news and next year’s registration dates. We email a few times a year — never more.

I have read the camp policies and understand the $100 deposit is applied to tuition and refundable until 30 days before the session. *

No payment is collected on this page. Within two business days we will email your confirmation and instructions for the $100 deposit that holds your camper’s spot.

What happens next

You submit this form

A $100 deposit reserves the spot. The balance is due two weeks before your session.
We confirm by email

Immediately upon submission, with the Camper Health History Form and HealthCare Recommendations attached.
You arrive Sunday

Check-in is 3:00–4:30 p.m. Bring the medical form; leave the phone if you can.

Cost is a concern?

Please still register — or call first. The Campership Fund covers part or all of tuition, and asking is confidential. Call 828-387-5736 or email kevin@jrvc.org.

Prefer paper?

We will mail or email a PDF registration form. Call the camp office at 828-754-7067.

Your information is used only to run your camper’s registration. See our privacy policy.