God Speed Camp Registration Form
Sponsored by Actively Inspired
Child’s Name:
First Name
Last Name
Child’s Age Group:
Please Select
6 - 8
9 - 12
Does any one have allergies?
Yes
No
Shirt Size
X-Small
Small
Medium
Large
Emergency Contact Information
Please enter the name of parent or guardian who should be contacted in case of an emergency.
Relationship:
Sibling
Parent
Child
Friend
Other
Full Name
First Name
Last Name
E-mail Address
example@example.com
Contact Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
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July Registration- 1 child
Registration for one month. Only for 1 child.
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Family Registration- July
One month registration. Only for 2 children.
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Extended families
If you have 3 or more children add this fee for additional children.
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Any questions or concern:
Submit
Should be Empty: