Church Registration 2024

1
Image Field
2
Church City & Name* This field is required.
Church City
Church Name
3
Camp Attending* This field is required.YTH Camps Grades 6-12/ KIDS Camps Grades 2-6
Yth Camp 3 - July 8-12th
Kids Camp 2 - July 15-18th (4 Day Camp)
4
Estimated # of students you are bringing to Camp.* This field is required.If filling out for both Kids and Youth go by each Camp (ex: Yth Camp 1: 10, Kids Camp 1: 8)
5
Main Contact Name* This field is required.Pastor or Admin in charge of handling registrations
First Name
Last Name
6
Main Contact Email* This field is required.All registration notifications and information will be sent to this contact.
example@example.com
7
Main Contact Phone* This field is required.
Please enter a valid phone number.
8
Pastor Reference* This field is required.Provide the name of the pastor that will fill out the Pastoral Reference for each leader attending camp.
First Name
Last Name
9
Pastor Email* This field is required.
example@example.com
10
Pastor Phone Number* This field is required.
Please enter a valid phone number.
11
Payment TypeCHURCH PAYMENT IS DUE AT OR BEFORE REGISTRATION ON THE FIRST DAY OF CAMP
Church Payment (The Church brings 1 check for all registered students and leaders)
Individual Payment (Students Pay as they register)
12
Confirm Information

Church Info

Church City & Name {churchCity}

Camps Attending {campsAttending}

Church Main Contact Info

Name {mainContact}

Email {mainContact6}

Phone {mainContact7}

Pastor Reference

Name {pastorReference}

Email {pastorEmail}

Phone {pastorPhone}
Should be Empty:

Church City & Name	{churchCity}
Camps Attending	{campsAttending}

Name	{mainContact}
Email	{mainContact6}
Phone	{mainContact7}

Name	{pastorReference}
Email	{pastorEmail}
Phone	{pastorPhone}