Exploring God's Creation

Exploring God's Creation

Crooked River State Park- Hosted by Three Rivers Church
Child's Information
Child #1 Name

First Name Last Name
Child #2 Name

First Name Last Name
Child #3 Name

First Name Last Name
Child #4 Name

First Name Last Name
Child #1 Age
Child #2 Age
Child #3 Age
Child #4 Age
Parent/Guardian Information
Name

First Name Last Name
Cell Number
E-mail
example@example.com
Parent/Guardian Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency Information
Emergency Contact's Name

First Name Last Name
Phone Number
Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.
I, the parent/guardian, hereby attest that the information is correct and the person(s) herein described has my permission to engage in all camp activities, with the exception of any physical limitations as described. I give permission to Three Rivers Church to use photographs and/or video of my child for camp publicity.
Registration is $20 per child.

Once you have completed the registration form, click SUBMIT FORM and you will be redirected to complete your payment.

On the payment page- please enter the total amount for registration and select from the dropdown box Exploring God's Creation.

You will received an email before the start date regarding drop off and pickup arrangements. Please be on the lookout for that. We are excited out this year's camp!
Should be Empty: