Faith Explosion Kids Camp

July 25-28, 2022

Lakeview Camp - Lone Star, TX
For students who have completed 3rd-5th grade
$170 per student if registered by May 1
$195 per student after deadline if space is available.
Camper's Full Name
Last Name
First Name
Middle Name
Birth Date

Month Day Year
Grade
Emergency Contact's Name
Relationship to Camper
Home Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Cell Phone

Area Code Phone Number
Email
Camper's T-Shirt Size
Payment Schedule
May 1 - $50 non-refundable deposit due

June 5 - 2nd payment - $60 due

July 24 - Last payment - $60 due

Scholarships are available upon request.
Importan Note: Registration form is due May 1, 2022. Any registrations received after May 1 will be expected to pay an additional $25 late fee. Also, registrations received after May 1 are not guaranteed a spot and will be put on a waiting list.
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Date

Month Day Year
Date
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July 25-28, 2022