Camp Registration

(all fields required)

Student Name:

 

 

 

Address:

 

 

Phone #:

 

 

 

Email address (for confirmation & to send important info.)

 

 

 

 

 

     Age: 

 

        Grade Completed:

 

     School:

 

     Emergency Contact Person:

 

     Emergency Contact #: 

 

     

 

Church Attending:

 

 

Deposit:

 

     You may pay the deposit online by returning to the Kids Camp Info Page after you finish this      registration and following the link provided or you may bring your deposit by the church office      at your convenience.

 

 

Please select one:

 

                I will pay the deposit online

 

                I will bring the deposit by the church office