Camper Registration Form

We do camp!

- Previous Campers

Coffee tastes better at Kattivik!

- Peej Jones and Corina Kramer

*BEFORE YOU REGISTER*

Before you register, we are currently in the process of redoing this registration form to add more information and allow registering individuals to pay the registration fee directly on our website. Feel free to register down below to send us your information, but we may need to reach back out to you again to complete the newer one once it is ready.

Thank you!

First Name

Last Name

Feel free to tell us a little bit about yourself and why you would like to attend Kattivik Bible Camp. This is not required, we would just like to get to know a little bit about you ahead of time!

Please let us know any allergies, medical concerns, and/or medications that we should be aware of. Type N/A if not applicable.

Legal Guardian First Name

Legal Guardian Last Name

Legal Guardian Address 1

Address 2

Country

City

State

Zip/Postal Code

Legal Guardian Phone Number

Legal Guardian Email Address

What Grade Will You Be In During The 2022/2023 School Year?

Which Village/City Are You Coming From?

*WAIVER* By checking the box below you are agreeing that ChangePoint Kotzebue is not liable/responsible for any injuries due to disregard for any/all safety protocols and/or direction from camp leader/volunteer.
Yes, I agree

Submit

Camper Registration Form

We do camp!

Coffee tastes better at Kattivik!

Contact Info

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