How would you like to be listed?*

Type the name exactly as you would like it to appear in public recognition materials.

This information is helpful when determining camp session benefits.

Child 1

Child 2

Child 3

Please select a giving level:*

$500 — Young Professional, age 30 or younger$2,500$5,000$7,500

How would you like to fulfill your gift?*

AnnualMonthlyQuarterly

The annual renewal date will be the first day of the month following the initial joining date.

I/We wish to waive all non-tax-deductible goods or services, including event tickets or merchandise. Please consider the entire contribution tax-deductible to the fullest extent permitted by law.

If this option is not selected, you may receive benefits associated with the corresponding membership level.

Please select one:*

I/We agree to automatic annual renewalI/We do not agree to automatic annual renewal

If automatic renewal is selected, this membership will continue annually following the initial term. I/We authorize Gravatt Camp and Conference Center to charge the membership fee at the same level of support using the payment method on file. Membership will continue to renew until written notice of cancellation is provided at least 30 days before the next billing date.

Your payment information will be entered securely on the Stripe payment page after this form is submitted.

ACH bank payment — preferredCredit or debit card

Street Address*

I/We have reviewed the selected giving level, payment frequency, renewal selection, and authorization language above.

I/We certify that the information provided is accurate.