EXTRAORDINARY DAY!
JUNE 8, 2026: A South Georgia Special Needs Camp Day
Camper Details:
Student's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Home Church
*
Food Allergies
Your child's special needs
How many will be in your party?
Child's t-shirt size
*
Child S
Chilld M
Child L
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Submit
Should be Empty: