13+ | Summer Camp Registration Form

13+ | Summer Camp Registration Form

Please fill out this form to register for the summer camp and provide necessary details.
Camp Dates

July 15th - July 19th @9am | Church will be @10am and all families of campers are welcome
Camper's Full Name

First NameLast Name
Are you registering siblings? Note - If sibling is under 13 please fill out the 8-12 yr/old form separately for them.
Camper's Age
Is medication required during camp?
If yes, please explain medication requirements
Parent/Guardian Full Name

First NameLast Name
Email
example@example.com
Parent/Guardian Number
Please enter a valid phone number.Format: (000) 000-0000.
Other Emergency Contact Name

First NameLast Name
Other Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relation to Camper
*This Is Required* NOTE: This is a separate form for the property owners.
Open Activity Participation Agreement
How did you hear about us?
$115/ each camper, will be due on next slide

Click Register to continue to payment
Should be Empty:

Camp Dates