Winter Camp 2025 - Teen Registration Form

This form is currently closed.

REGISTRANT INFORMATION & EXPECTATIONS

This form is for campers 13 and older who are managing communication regarding camp on their own. If you are a parent looking to sign-up your child, please fill out our Parent/Caregiver Registration Form.

~~Registration closes on Friday, December 12th.~~

Registration has been extended through Friday, December 19th.
Have you attended Friendship Circle of Dallas programs before?*

YesNo
We're so glad you're joining us!
We’re so excited to welcome you!

If you have not participated in Friendship Circle programs before, we’ll need to gather a bit more information before confirming your spot.

Please share your contact information so we may reach out to you.
Full Name
First Name Last Name
Phone Number
E-mail
How did you hear about us?*

Website or search engineSocial mediaFriend or family referralProfessional referralOther
Please share their name so we can thank them!
Campers must bring a labeled water bottle and a nut-free lunch each day. Snacks or meals containing any type of nuts are not permitted for the safety of all participants.

Please label all personal items clearly or send disposable items when possible. While we make every effort to keep track of belongings, we cannot guarantee that items will return home especially if they are not labeled with names.
I have read and understood the above statement.*

Yes
Winter Camp Schedule:

10:00 AM - 2:00 PM

10:00 AM - 2:00 PM

10:00 AM - 12:30 PM

We ask that you arrive on-time, stay for the duration of the program, and attend at least 2/3 days offered.
Which days will you be joining us for camp?

Monday, December 29Tuesday, December 30Wednesday, December 31
CAMPER INFORMATION
Full Name*
First Name Last Name
Phone Number*
E-mail*
Birth Date*

Month Day Year
Gender*

MaleFemale
PARENT/CAREGIVER INFORMATION
Parent/Caregiver 1 Full Name*
First Name Last Name
Phone Number*
E-mail*
Parent/Caregiver 2 Full Name
First Name Last Name
Phone Number
E-mail
LIABILITY WAIVER
By submitting this form, I acknowledge that participation in Camp Friendship programming involves voluntary activities which may carry risk. I release and hold harmless Friendship Circle of Dallas and its staff, volunteers, and affiliates from any liability related to injury or property damage incurred during participation, except in cases of gross negligence.
I agree to the terms above.*

Yes
ADDITIONAL INFORMATION
Are there any specific accomodations that we can offer to ensure an enjoyable and accessible experience?
Please consider making a donation to keep this program free for those who need it!

$100$180$360$540
Winter Camp costs approximately $250 per camper.

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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