Registration KAMP 2025 NEW Dates for 2025: July 10th – 13th Central College – Pella, Iowa REGISTRATION IS NOW OPEN! K.A.M.P. Registration 2025 Step 1 of 5 20% Primary Adult Registrant's Name*Parent/Guardian or Adult Adoptee First Last Secondary Adult Registrant's NameParent/Guardian or Adult Adoptee First Last First year at KAMP?* Yes No Registration Type*FULL KAMP EXPERIENCE is available for anyone interested in KAMP programming and access to activities on Central College campus. The DAY PASS option is available for Saturday only and is ideal for Alumni and Alumni families primarily interested in the Korean lunch but NO programming or access to activities on Central College campus. FULL KAMP EXPERIENCE, including all programming DAY PASS ONLY, without programming Adult Adoptee Track (qty)*Each Adult Adoptee should register separately. Enter 1 if registering as an Adult Adoptee.School Age Track (qty)*How many elementary-high school will be participating in regular KAMP programming?Co-op Track (qty)*How many toddler-preschool age will be participating in KAMP Co-op?Guests (qty)Those registered for the full KAMP experience (Adult Adoptee, School Age, or Co-op tracks) may invite one or more adult member(s) of their immediate family to be their guest for ONE day. Access to Parent programming only is allowed. ADVANCE REGISTRATON IS REQUIRED. (Please note: Guest registration is not available to Day Pass registrants.) 1st CHILD'S NAME First Last Country of Origin Age During KAMPGrade Fall 2025Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeT-shirt SizeYouth X-Small (4-5)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Youth X-Large (18-20)Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeHealth ConcernsList any health concerns, including allergies, that KAMP counselors should be aware of:Emergency MedicationsList any emergency medications child #1 will bring with. EpiPen Inhaler Other Physical RestrictionsList any physical restrictions that KAMP counselors should be aware of:Behavioral ConcernsList any behavioral concerns that KAMP counselors should be aware of:2nd CHILD'S NAME First Last Country of Origin Age During KAMPGrade Fall 2025Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeT-shirt SizeYouth X-Small (4-5)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Youth X-Large (18-20)Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeHealth ConcernsList any health concerns, including allergies, that KAMP counselors should be aware of:Emergency MedicationsList any emergency medications child #2 will bring with. EpiPen Inhaler Other Physical RestrictionsList any physical restrictions that KAMP counselors should be aware of:Behavioral ConcernsList any behavioral concerns that KAMP counselors should be aware of:3rd CHILD'S NAME First Last Country of Origin Age During KAMPGrade Fall 2025Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeT-shirt SizeYouth X-Small (4-5)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Youth X-Large (18-20)Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeHealth ConcernsList any health concerns, including allergies, that KAMP counselors should be aware of:Emergency MedicationsEmergency medications child #3 will bring with: EpiPen Inhaler Other Physical RestrictionsList any physical restrictions that KAMP counselors should be aware of:Behavioral ConcernsList any behavioral concerns that KAMP counselors should be aware of:4th CHILD'S NAME First Last Country of Origin Age During KAMPGrade Fall 2025Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeT-shirt SizeYouth X-Small (4-5)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Youth X-Large (18-20)Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeHealth ConcernsList any health concerns, including allergies, that KAMP counselors should be aware of:Emergency MedicationsEmergency medications child #4 will bring with: EpiPen Inhaler Other Physical RestrictionsList any physical restrictions that KAMP counselors should be aware of:Behavioral ConcernsList any behavioral concerns that KAMP counselors should be aware of:5th CHILD'S NAME First Last Country of Origin Age During KAMPGrade Fall 2025Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeT-shirt SizeYouth X-Small (4-5)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Youth X-Large (18-20)Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeHealth ConcernsList any health concerns, including allergies, that KAMP counselors should be aware of:Emergency MedicationsEmergency medications child #5 will bring with: EpiPen Inhaler Other Physical RestrictionsList any physical restrictions that KAMP counselors should be aware of:Behavioral ConcernsList any behavioral concerns that KAMP counselors should be aware of:1st Co-op CHILD'S NAME First Last Country of Origin Age During KAMPT-shirt SizeYouth X-Small (4-5)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Youth X-Large (18-20)Health ConcernsList any health concerns, including allergies, that KAMP counselors should be aware of:Emergency MedicationsEmergency medications child will bring with: EpiPen Inhaler Other Physical RestrictionsList any physical restrictions that KAMP counselors should be aware of:Behavioral ConcernsList any behavioral concerns that KAMP counselors should be aware of:2nd Co-op CHILD'S NAME First Last Country of Origin Age During KAMPT-shirt SizeYouth X-Small (4-5)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Youth X-Large (18-20)Health ConcernsList any health concerns, including allergies, that KAMP counselors should be aware of:Emergency MedicationsEmergency medications child #2 will bring with: EpiPen Inhaler Other Physical RestrictionsList any physical restrictions that KAMP counselors should be aware of:Behavioral ConcernsList any behavioral concerns that KAMP counselors should be aware of:3rd Co-op CHILD'S NAME First Last Country of Origin Age During KAMPT-shirt SizeYouth X-Small (4-5)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Youth X-Large (18-20)Health ConcernsList any health concerns, including allergies, that KAMP counselors should be aware of:Emergency MedicationsEmergency medications child #3 will bring with: EpiPen Inhaler Other Physical RestrictionsList any physical restrictions that KAMP counselors should be aware of:Behavioral ConcernsList any behavioral concerns that KAMP counselors should be aware of:T-shirt SizeAdult Adoptee program registrants receive a free t-shirt. Enter your size here.Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large Guest Name First Last RelationshipRelationship to KAMPer or Adult Adoptee (parent, grandmother, grandfather, brother, sister, etc.) 2nd Guest Name First Last RelationshipRelationship to KAMPer or Adult Adoptee (parent, grandmother, grandfather, brother, sister, etc.) 3rd Guest Name First Last RelationshipRelationship to KAMPer or Adult Adoptee (parent, grandmother, grandfather, brother, sister, etc.) 4th Guest Name First Last RelationshipRelationship to KAMPer or Adult Adoptee (parent, grandmother, grandfather, brother, sister, etc.) Adult Registrant Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Primary Adult Registrant Cell*Secondary Adult Registrant CellCell Phone Preference*For general contact questions and in case of emergency, which phone do you prefer we call first? Primary Adult Cell Secondary Adult Cell Texting*May we send you text messages? Yes No Annual DuesIowans for International Adoption (IIA) membership dues (see https://iiakampretreat.com/about-us/). REQUIRED for all full KAMP registrants. Day Pass and Adult Adoptee registrants are encouraged to join. Membership required for voting privileges and service on the board.IIA Dues ($)*Annual Fee (per family) IIA Dues – $50 Declined – $0 KAMPer FeesCovers counselors, programming, supplies, and one t-shirt per KAMPer or Adult Adoptee. *COMPLIMENTARY for 2025*KAMPers, Full ($145 value each) QuantityEnter TOTAL NUMBER of Kindergarten through High School children participating in full KAMP: Price: $0.00 Quantity KAMPers, Day Pass ($50 value each) QuantityEnter TOTAL NUMBER of Kindergarten through High School children participating in Saturday only (Day Pass) KAMP: Price: $0.00 Quantity Adult Adoptees, Full ($50 value each) QuantityEnter TOTAL NUMBER of College-age through Adult participating in full KAMP ADULT ADOPTEE track. Price: $0.00 Quantity Adult Adoptees, Day Pass ($25 value each) QuantityEnter TOTAL NUMBER of College-age through Adult participating in Saturday only (Day Pass) KAMP ADULT ADOPTEE track. Price: $0.00 Quantity Co-op ($20 value each) QuantityEnter TOTAL NUMBER of Toddler through Pre-school age children participating in KAMP CO-OP. Price: $0.00 Quantity SUBTOTAL: KAMPer Fees COMPLIMENTARYGuest FeesMust be an immediate family member of a full KAMP experience registrant (Adult Adoptee, School Age, or Co-op track).Guest Bundle, Joining Parent Programming on Central Campus QuantityIncludes facility fee and 2 meals for one day. Enter TOTAL NUMBER OF GUESTS. Price: $55.00 Quantity Guest Bundle, No Programming QuantityIncludes facility fee and 2 meals for one day. Enter TOTAL NUMBER OF GUESTS. Price: $30.00 Quantity SUBTOTAL: Guest FeesCentral College FeesArrival Date*On Thursday (3 nights)On Friday (2 nights)On Saturday (1 night only)Central College Facility Fee (required) QuantityTotal fee for 3 nights. Enter TOTAL NUMBER IN YOUR PARTY ages 4 and up. Do NOT include Guests in total. Price: $19.50 Quantity Central College Facility Fee (required) QuantityTotal fee for 2 nights. Enter TOTAL NUMBER IN YOUR PARTY ages 4 and up. Do NOT include Guest in total. Price: $13.00 Quantity Central College Facility Fee (required) QuantityTotal fee for 1 night. Enter TOTAL NUMBER IN YOUR PARTY ages 4 and up. Do NOT include Guests in total. Price: $6.50 Quantity SUBTOTAL: Facility FeesKAMP LodgingFor more information on lodging fees, see also https://iiakampretreat.com/fees/Lodging at Central College (optional)*Enter the TOTAL NUMBER IN YOUR PARTY requiring lodging at Central. Enter “0” if on-campus lodging not required.Double Occupancy Rooms* Quantity3-night total room rate for TWO occupants (Thursday – Sunday). Enter the number of double occupancy rooms desired for your stay: Price: $144.00 Quantity Single Occupancy Rooms Quantity3-night total room rate for ONE occupant (Thursday – Sunday). Enter the number of single occupancy rooms desired for your stay: Price: $114.00 Quantity Double Occupancy Rooms* Quantity2-night total room rate for TWO occupants (Friday – Sunday). Enter the number of double occupancy rooms desired for your stay: Price: $96.00 Quantity Single Occupancy Rooms Quantity2-night total room rate for ONE occupant (Friday – Sunday). Enter the number of single occupancy rooms desired for your stay: Price: $76.00 Quantity Double Occupancy Rooms* Quantity1-night total room rate for TWO occupants. Enter the number of double occupancy rooms desired for your stay: Price: $48.00 Quantity Single Occupancy Rooms Quantity1-night total room rate for ONE occupant. Enter the number of single occupancy rooms desired for your stay: Price: $38.00 Quantity *Additional Child QuantityOne additional child allowed to sleep on floor, DOUBLE OCCUPANCY ROOMS ONLY. One fee for entire stay. Enter “1” if applicable. (Single occupant with child should select Double Occupancy room option.) Price: $5.50 Quantity SUBTOTAL: LodgingKAMP MealsMeal plan participation is optional. Meals are served in the college cafeteria and meal pass is required for cafeteria entry. All meal plans include the Korean lunch. Children 3 and under eat free.Full Meal Plan QuantityEnter number in party (ages 9 – adult) requesting all 9 meals, 3-night stay. Includes Korean lunch. Price: $95.00 Quantity Full Meal Plan (child) QuantityEnter number of children in party (ages 4 – 8 only) requesting all 9 meals, 3-night stay. Includes Korean lunch. Price: $37.00 Quantity Partial Meal Plan QuantityEnter number in party (ages 9 – adult) requesting up to 4 meals of their choosing, plus Korean lunch, 3-night stay. Price: $52.00 Quantity Partial Meal Plan (child) QuantityEnter number of children in party (ages 4 – 8 only) requesting up to 4 meals of their choosing, plus Korean lunch, 3-night stay. Price: $20.00 Quantity Full Meal Plan QuantityEnter number in party (ages 9 – adult) requesting all 7 meals, 2-night stay. Includes Korean lunch. Price: $72.00 Quantity Full Meal Plan (child) QuantityEnter number of children in party (ages 4 – 8 only) requesting all 7 meals, 2-night stay. Includes Korean lunch. Price: $28.00 Quantity Partial Meal Plan QuantityEnter number in party (ages 9 – adult) requesting up to 3 meals of their choosing plus Korean lunch, 1-2 night stay. Price: $39.00 Quantity Partial Meal Plan (child) QuantityEnter number of children in party (ages 4 – 8 only) requesting up to 3 meals of their choosing plus Korean lunch, 1-2 night stay. Price: $15.00 Quantity Korean Meal Only QuantityEnter number in party (ages 9 – adult) requesting Korean meal only. Cafeteria access not included. Price: $15.00 Quantity Korean Meal Only (child) QuantityEnter number of children in party (ages 4 – 8 only) requesting Korean meal only. Cafeteria access not included. Price: $5.00 Quantity SUBTOTAL: MealsParent / Additional T-Shirt PurchasesAll T-shirts selected below come in designated parent-color. *Not for KAMPer or Adult Adoptee T-shirt orders*Adult Small QuantityEnter total number of additional t-shirts requested in this size Price: $15.00 Quantity Adult Medium QuantityEnter total number of additional t-shirts requested in this size Price: $15.00 Quantity Adult Large QuantityEnter total number of additional t-shirts requested in this size Price: $15.00 Quantity Adult X-Large QuantityEnter total number of additional t-shirts requested in this size Price: $15.00 Quantity Adult XX-Large QuantityEnter total number of additional t-shirts requested in this size Price: $15.00 Quantity SUBTOTAL: T-ShirtsPaymentREFUND POLICY: ~ Cancelation by IIA, anytime: Full refund. ~ Cancelation by registrant by July 3rd: Full refund, less IIA dues. ~ Cancelation after July 3rd: Contact Kevin Smith at kevinandabbie@hotmail.com. ~ All cancelation requests should be submitted in writing to: Kevin Smith at kevinandabbie@hotmail.com ~ Refunds will be made in same form as original paymentHow do you plan to pay KAMP fees?*PayPal total will include an additional 2.5% service charge. Personal Check Paypal Total KAMPER Family Discount:A discount of $175 per registered school-age KAMPer will be deducted from your Total Amount Due. TOTAL AMOUNT DUE:Please make check payable to IIA (Iowans for International Adoption) and mail payment before June 30th to: Katie Marchik 3179 Westminster Rd Bettendorf, IA 52722TOTAL AMOUNT DUE:Please use the following link to pay by Paypal: https://iiakampretreat.com/fees/payment/ Questions regarding payment can be directed to Katie Marchik at k.marchik@gmail.comKAMPer Release FormA separate KAMPer release form must be completed for EACH child (toddler-high school) attending KAMP. A link to the IIA General Release form will be included in your registration confirmation.Registration ConfirmationA confirmation of your registration, including a break down of fees and the total amount due, will be sent to the email you have included on this form. If you do not receive a confirmation email, please contact Kevin Smith at kevinandabbie@hotmail.com or Dawn Morse at dkmorse63@gmail.com.HiddenSignUp Genius for Volunteer RolesIf you have not done so already, please consider serving at KAMP in a volunteer role. Click on the following weblink to view and signup for various opportunities: https://www.signupgenius.com/go/30E0549ADA729ABFF2-call ShareTwitterFacebook