GodZeala Spring Camp Registration Form 2026

Spring Camp Registration 2026 (Kids Grade 3-5)

Mar 23-27, 9am-5:30pm @ KPC 2733 W 41st Ave, Vancouver
CHILD 1 INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Age*
Name of School*
CHILD 2 INFORMATION:
Child Name

First NameLast Name
Birth Date

MonthDayYear
Age
Name of School
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
ENROLLMENT
One Week Mornings Only [9am-12pm]- $249/weekOne Week Full Day [9am-4pm]- $525/week
MEDICAL INFORMATION
Medical & Special Needs Information. Does your child have any allergies, medical condition or special needs we should be aware of?
Emergency Contact:*

First NameLast Name
Phone Number of Emergency Contact*
Please enter a valid phone number.Format: (000) 000-0000.
Outdoor Walks Permission

As part of our program activities, we may occasionally take short supervised walks to a nearby park for games, reflection time, or group activities.
Yes, I give permission for my child to participate in supervised walks to the park.No, I do not give permission for my child to leave the premises.
Media Release
Yes, I give permissionNo, I do not give permission
Payments

After the form submission, please add camp to cart and continue with payment.
Should be Empty:

Spring Camp Registration 2026 (Kids Grade 3-5)