Please Complete a SEPARATE FORM for Each Staff Member.
NOTE: This is NOT Your Staff Registration!!! Please Make Sure To Register Each Staff Member at ohiocog.com/youth
FULL NAME:
*
First Name
Last Name
Gender:
*
Male
Female
ADDRESS:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EMAIL:
*
example@example.com
PHONE:
*
Please enter a valid phone number.
Format: (000) 000-0000.
CHURCH NAME:
*
PASTOR NAME:
*
I Am Seeking Transportation...
*
TO Camp ONLY.
Back FROM Camp ONLY.
TO & FROM Camp
The Camp(s) That I Will Be Working Is (Are)...
*
CAMP INFERNO (June 15-19)
CAMP FUSION (June 22-26)
CAMP IGNITE (June 29 -July 3)
CAMP EMBER (July 5-8
CAMP FIRE FLY (July 8-11)
Will You Be Requiring Accommodations Over The Weekend Between Camps?
*
YES
NO
Submit
Should be Empty: