Please fill out the form below to register, one form for each child.  Registration will not be complete until initial payment is made.

**All Current Scholarships Have Been Awarded**

Camper Information

*Minimum number of campers required

Parent/Guardian Contact Information

Registration includes a camp t-shirt.
By giving consent to photo release, Evergreen Heritage Center may use your child's photo/audio/videos in promotional material & social media posts.

Medical Information

Emergency Contact Information

I, the parent/legal guardian of the child named above, give my permission for him/her to participate in EHC Summer Camp program. I assume all risks and hazards incidental to such participation including transportation to and from site which is located 15603 Trimble Rd NW, Mt Savage, MD 21545. In the event of an emergency requiring immediate medical attention, my child will be taken to the UPMC Western Maryland Emergency Room. My signature above authorizes EHC Summer Camp staff to have my child transported to the UPMC Western Maryland ER in the event it is deemed necessary by the staff. I do hereby waive, release, and hold harmless the Evergreen Heritage Center Foundation from any claim arising out of injury during this program. I have read and understand the EHC Camp Policies.
Each camp cost $280.00 to attend and includes registration fee. Registration includes a camp t-shirt. Early Bird Special is available if camp(s) are paid in full. Offer expires April 30, 2023.

Once you click Submit, you will be redirected to the payment page.