Youth Summer Camp Registration

* Required Information

* Camp Date

Group Organizer

* First Name * Last Name
* Phone (319-555-1234)
* Email
* Group/Organization Name

We will not receive your registration for the Youth Summer Camp until you have completed the entire registration.

You will be able to review your registration form and make any necessary changes before you submit it.

Your registration form will be complete once you have clicked the "Submit Registration for Youth Summer Camp" button and are redirected to the confirmation screen.

Student Life

Brock Student Center
1-800-670-4769 ext.4027
Email us