Children's Camp Registration Form
Register your child for our 4-day camp. Please complete all sections and submit payment to secure your spot.
I am Registering for The Journey Children's Missions Camp in
Kern County/Central California (July 15-18th, Sierra Christian Service Camp in Posey, California)
Northern California (June 21st-24th, Cazadero Baptist Camp in Cazadero, California)
Child's Full Name
*
First Name
Last Name
Church Name
*
Child's most recent grade graduated
*
Child's Gender
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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.
Format: (000) 000-0000.
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?
Signature
May we use your child's image for advertising purposes?
Yes
No
Register and Go to Payment Platform
Register and Go to Payment Platform
Should be Empty: