Camper Information

Allergy Information


General Health and Wellness Questions

Has/does the participant:

Healthcare Providers

Restriction Information

Emergency Contact Information

Camp Session and Payment Options

Camp fees include five meals, two nights lodging in the air conditioned cabins, camp t-shirt and costs for programming and staff.

If your congregation or place of employment will be covering the cost to attend, please type "PAYLATER" in the coupon code box.  

Payment may be mailed to the CCC (5064 Lincoln St., Newton, IA  50208) or brought to check-in on Sept. 26.  Camp fees should be paid in full by the start of camp.


Authorization Information

Photo/Video Authorization

Unless checked below, I accept that the participant/s likeness may be used in any online or print publications or social media by the Christian Conference Center and/or the Christian Church in the Upper Midwest.

Covid-19 Information

The Christian Conference Center staff has been learning everything we can about how to best serve our guests during the pandemic.  We have put extra cleaning and safety measures in place for all user groups at the CCC.  We are doing everything in our power to make the CCC as safe as possible for campers, volunteers and staff.  While we are still determining our final protocols for overnight camp and cannot completely eliminate the risk of a Covid-19 spread, we can promise that the following measures will be in place: lower bed capacity, physically distanced group gatherings, mask requirements in large groups, outdoor recreation whenever possible, and extra air filtration systems in our large group meeting spaces.  As the pandemic continues to change and as CDC restrictions change along with it, we will update our protocols and will update camper families as soon as possible.

I have read and understand the Covid-19 information provided on this form, and I agree to follow health and safety protocols that are required by the Christian Conference Center for participation.

Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
Reg Fox by Webconnex
Secure Online Registration Powered by RegFox