2019 Application
Service Times: Saturday 6:00 p.m. Sunday 8:30a.m. & 11:00a.m.
100 Timothy Drive, Elizabeth, PA 15037 412-751-0511

2019 Application

Please fill out form below for part I.Here are the links for

part II (click here) and part III (click here)

Print this document for reference.

Camper's Name:
Camper's Age:
Camper's Address:
Parent/Guardian Contact:
Contact E-mail:
Contact Phone:
CHCUMC Association:
Camp of Interest:
Word Verification: