Kids Camp Registration Form

Kids Camp Registration - Summer 2021
Kids Camp is for children age 3 (and potty trained) through Kindergarten

Camps are 9:30am - 1:30pm, Monday through Thursday

Camps are $90 each

Camp registration closes the Thursday before each camp

Mud Creek Campus

8550 Mud Creek Road

Indianapolis, IN 46256

Promise Road Campus

12756 Promise Road

Fishers, IN 46038
Mud Creek:

June 7-10 – Fun & Fitness - this camp is full

June 21-24 – Creative Art - this camp is full

June 28-July 1 – Kids in the Kitchen - this camp is full

July 12-15 – Construction Junction - this camp is full

July 19-22 – S.T.E.A.M. (Science, Technology, Engineering, Art, Math) - this camp is full

August 16-19 – Pirates & Princesses

Promise Road:

June 14-17 – Camping Camp - this camp is full

June 21-24 – Dinosaur Camp - this camp is full

June 28-July 1 – Pirates & Princesses - this camp is full

July 12-15 – Space Invaders - this camp is full

July 26-29 – Reading Camp - this camp is full

August 9-12 – Water Camp - this camp is full
CAMPER INFORMATION:
Camper Name *

First Name Last Name
Birth Date *

Month Day Year
Age *
Campers must be potty-trained and 3-years-old
Gender M/F *
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Names *

First Name Last Name
First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Cell Phone *
Home/Work Phone
E-mail *
EMERGENCY CONTACT INFORMATION
Emergency Name *

First Name Last Name
Emergency Cell Phone *
Emergency Home/Work Phone
Indicate the Kids Camp programs in which you are enrolling your child. All camps are 9:30am - 1:30pm, Monday through Thursday, unless otherwise noted. Camps are $90 each.
*

August 16-19 – Pirates & Princesses – Mud Creek
Enter total amount due ($90 per camp)
Payments can be made by credit card, cash or check (payable to Weekday Ministries). If you wish to pay by credit card, please visit our website, www.geistwdm.org. If you have questions about payment, please contact Robin Hurley at robin.hurley@geistchristian.org.
Health Concerns / Special Notes
Current School *
In order to reserve a space in the camp programs indicated in this registration form, the completed registration must be accompanied by the camp fee. Camp will be filled on a first-come, first-served basis. Forms may be submitted electronically, dropped off at Weekday Ministries or mailed.

Camp fees are non-refundable unless camp is cancelled by Weekday Ministries. Camp can be transferred to another week, pending availability, when requested in advance.

Camp registration closes the Thursday before each camp.

Weekday Ministries is a school ministry of Geist Christian Church

Website: www.geistwdm.org

General inquiries: wdm@geistwdm.org or 317-578-4591
WEEKDAY MINISTRIES AT GEIST CHRISTIAN CHURCH – NON-DISCRIMINATION POLICY

Weekday Ministries at Geist Christian Church does not discriminate on the basis of race, color, national and ethnic origin, religion, or disability in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs, or as otherwise prohibited by law.
How did you hear about our camp?
Electronic signature *

First Name Last Name
Should be Empty:

Kids Camp Registration - Summer 2021

CAMPER INFORMATION:

PARENT/GUARDIAN INFORMATION:

EMERGENCY CONTACT INFORMATION