2023 Word of God Summer Camp Application
Name
First Name
Last Name
Email
example@example.com
Rising Grade for Fall 2023
Please Select
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Date of Birth
-
Month
-
Day
Year
Date
Back
Next
Parental/Guardian Information
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relation to Camper
Back
Next
Summer Camp Enrollment Weeks (Select All weeks that your child plans to attend camp)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
June 5th-9th
June 12th-16th
June 19th-23rd
June 26th-30th
July 10th-14th
July 17th-21st
July 24th-28th
July 31st - August 4th
Submit
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