Summer Camp Registration Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Ministry Site/Leader
Please Select
Bermudian Springs Middle - Perry Motter
New Oxford Middle - Perry Motter
North Carroll Middle - Jen Allender
Shiloh Middle - Jen Allender
EHMMS/Hanover Middle - Michelle Thompson
Northwest Middle - Jodi Sell
T-shirt Size
Extra small
Small
Medium
Large
Extra Large
XXL
I understand that my registration is not complete until I pay a $50 registration fee online at www.masondixonyfc.org (noting Summer Camp in the memo/note field) or submit it to my club leader.
Submit
Should be Empty: