Children's Camp Registration Form
Register your child for our 4-day camp. Please complete all sections and submit payment to secure your spot.
Child's Full Name
*
First Name
Last Name
Church Name
*
Child's Age
*
Child's Gender
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship to Child
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Does your child have any medical conditions we should be aware of? (e.g., allergies, medications)
Does your child have any special needs or require accommodations?
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