2026 SEDRR CAMP - HIDDEN HEROES
Contact Information | Información del contacto
Enter the contact information of the person filling out this form. Ingrese la información de contacto de la persona que llena este formulario.
Name | Nombre
*
First Name | Primer Nombre
Last Name | Apellido
Email
*
Correo Electrónico
Phone Number | Número de teléfono
*
Format: (000) 000-0000.
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Church Information | Información de su Iglesia
Church Name | Nombre de Iglesia
*
Senior Pastor's Email Address | Correo Electrónico del Pastor
*
example@example.com
Senior Pastor Name | Nombre de Pastor
*
First Name
Last Name
Section | Sección
*
Please Select
Bronx
Brooklyn/SI
Columbia
Connecticut
Kentucky
Long Island
Manhattan
North New England
Southern New England
North New Jersey
South Jersey / Delaware
Noroeste
Ohio
Pennsylvania
Queens
Upstate
Tennessee
Westchester
STAFF
Outpost #
*
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Insurance | Seguro
Insurance Company Name | Nombre de la compañía de seguros
*
Insurance Policy # | Numero de polica de seguro
*
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Names, Groups, and Shirts Information
Información de nombres, grupos y tallas de camisetas.
Ranger Kids
Discovery Rangers
Adventure Rangers
Expedition Rangers
Leaders
Pastors
Visitors
Camp Staff
Total # of Rangers
Total # of Leaders + Visitors + Pastors
Outpost shirt total per size | Total de camisetas Outpost por talla
*
Rows
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Enter Details
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Please confirm, that each registered boy must bring a completed Medical Records Form to check-in; you will keep the forms, but we will verify that all are provided. | Por favor confirme que cada niño registrado debe traer un Formulario de Historial Médico completado al momento del registro; usted conservará los formularios, pero verificaremos que todos sean presentados.
*
Yes, I Confirm - Si, confirmo
STAFF CODE
For camp staff only
Total owed
Pay
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( X )
USD
Description
Credit Card
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