2nd wave of Virtual Camp Registrations

2020 Virtual Camp Registration
Camper Information
Camper or Parent Name *

First Name Last Name
Gender *

Male Female
Age *
Grade Entering
Would you like a commemorative Camp Quaran-Teen Sticker? Add your address below:

Yes No
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Signing up more than one camper or family? Use this space below: First, Last name, Grade [adult grade not necessary :)]
E-mail *
First Time Camper?

Yes No
Church Name
Church Phone

Area Code Phone Number
Do you have parental permission to use Facebook?

Yes No
Do you have parental permission to use Instagram?

Yes No
Any questions?
I give permission for my child to attend virtual camp as well as use my child's photo for promotional purposes.
E-Signature

First Name Last Name
Should be Empty:

2020 Virtual Camp Registration