CentriKid Camp 2026 Registration

1

I am a Camellia Baptist Church member registering my child for CentriKid Camp June 23-June 27, 2026.* This field is required.

YESNO

2

Parent Name* This field is required.

First Name

Last Name

3

Parent Email* This field is required.

example@example.com

4

Parent Phone #* This field is required.Please enter the best number to receive text messages with important camp information.

Please enter a valid phone number.

5

Child Name* This field is required.

First Name

Last Name

6

Child's Current Grade* This field is required.

3rd Grade

4th Grade

5th Grade

6th Grade

7

I understand that in order for my child to be registered, the $100 non-refundable payment is due to the church office by Wednesday, January 28, 2026.* This field is required.

YESNO