Kids Camp Registration Form

Word of Life Camp Registration Form for ages 6-12.

July 6-11,2025
Please plan to attend the informational meeting Sunday, January 12 after the morning service. We will meet in the chapel.
Child Name #1

First NameMiddle NameLast Name
Birth Date Child #1

MonthDayYear
Gender Child #1
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list any physical limitations for child #1.
Please list two names child #1 would like to room with.
Child Name #2

First NameMiddle NameLast Name
Birth Date Child #2

MonthDayYear
Gender Child #2
Please list any physical limitations for child #2.
Please list two names child #2 would like to room with.
Child Name #3

First NameMiddle NameLast Name
Birth Date Child #3

MonthDayYear
Gender Child #3
Please list any physical limitations for child #3.
Please list two names child #3 would like to room with.
Person authorized for Camper check out. *
Name (First and Last) and Phone Number
Phone Number*
Person authorized for Camper check out. *
Name (First and Last) and Phone Number
Person authorized Phone Number *
Email*
example@example.com
The total cost of camp is $380 unless you are adding on activities. The following activities are avaliable for an extra cost, Bike Trail Rides, Laser Tag, Silent Disco, and Water Tubing. Kids must be registered for these activities and paid as soon as possible to ensure your child has a spot. Last year, everything was full by March.*

Yes, I understand.No, I do not understand.
I understand my first deposit of $100 is due February 2nd and no refunds will be made after March 16. The final payment is due June 8th. You can pay cash or check through the church offering. An electronic link to pay will be sent out following the meeting on January 12th.*

Yes, I understand.No, I do not understand.
Click to make payment https://onrealm.org/CallahanFBC/-/form/give/1
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Word of Life Camp Registration Form for ages 6-12.

Please plan to attend the informational meeting Sunday, January 12 after the morning service. We will meet in the chapel.