Solid Rock Camp Registration Form

Solid Rock Camp Registration Form

Please fill out this form to register for the Youth Camp from July 2nd to July 4th in Meridian, TX.
Camp Registration

Ages 8 to 17
T-Shirt Size
Participant's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Full Name

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

First NameLast Name
Parent/Guardian Email Address
example@example.com
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any Allergies, Medical Conditions, or Special Needs

Registration + Shirt

$95.00 Quantity

Total