Kids Camp Initial Registration Form

Kid's Camp Registration

The Wesleyan Methodist Church, South Queensland District
Child's Information
Child's Name

First NameLast Name
Birth Date

DayMonthYear
School Grade
Gender

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name

First NameLast Name
Mobile Number
E-mail
example@example.com
The submission of this form reserves your child a place on the list for Kid's camp 2024.

As numbers are limited you will be notified by email if your child has been successful in securing a place at the camp.

If your child has been successful, permission forms, medical forms, and payment information will be sent to you.

Please ensure your details above are correct.

Thank you
Date

DayMonthYear
Date
Should be Empty:

Kid's Camp Registration