Family Camp Registration Form

Child’s Name:

First NameLast Name

Child’s Age Group:

Does any one have allergies?

Shirt Size

Relationship:

Full Name

First NameLast Name

E-mail Address

example@example.com

Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

July Registration- 1 child

Registration for one month. Only for 1 child.

$100.00 Quantity

Family Registration- July

One month registration. Only for 2 children.

$150.00 Quantity

Extended families

If you have 3 or more children add this fee for additional children.

$50.00 Quantity

Total

Credit Card

Apple Pay

Google Pay

Cash App Pay

Any questions or concern:

God Speed Camp Registration Form