Life at Camp Kekoka, shows photos of the cabins, water, and activities at camp kekoka

Alexandria Camp Application

Alexandria Camp Registration
What name does your camper prefer to be called? Nickname?
Camper's Address
Street Address
Street Address 2 - Apartment #, Box, Suite#
City
State/Province
Zip/Postal
Birthday Card Address
City
State/Province
Zip/Postal
Name of school currently attending.
Enter the grade camper will be in next school year.
Cottages are assigned by age/grade level and requests must be mutual.

PARENT/GUARDIAN #1 INFORMATION

Please complete the information below on the parent/guardian for the camper.
Parent/Guardian #1 Address
Street Address
Street Address 2 - Apartment #, Box, Suite#
City
State/Province
Zip/Postal

PARENT/GUARDIAN #2 INFORMATION

Please complete the information below on the parent/guardian for the camper.
Parent/Guardian #2 Address
City
State/Province
Zip/Postal

EMERGENCY CONTACT INFORMATION

Please complete the information below for the emergency contact person for your camper.

Alexandria Police Youth Camp Fund

The Alexandria Police Officers provide both partial and full scholarships for Alexandria kids who want to attend camp but cannot afford it. This money comes from grant monies as well as donations. In order to receive the grant money the following information is required from each participant.
Do You Have a Question?

Our mission is to put Christian principles into practice through programs that build healthy spirit, mind and body for all.