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2024 Junior Camp
June 9 - 13, 2024 (Sunday - Thursday)
For students entering 5th & 6th grade
Cost:
Early bird price is $200.00 until May 27th. Price is $215 on May 28.
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* Indicates required question
Email
*
Your email
Camper's First Name
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Your answer
Camper's Last Name
*
Your answer
Preferred Name
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Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Phone Number with Area Cod (format 555-777-9999)
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Age (during camp)
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Your answer
Grade in Fall
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5th Grade
6th Grade
Gender
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Female
Male
Parent/Guardian Name(s)
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Your answer
Main Contact Phone Number
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Your answer
Emergency Contact Full Name (other than parents)
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Your answer
Emergency Contact Phone Number
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Your answer
Additional Contact Information, if necessary. Please include additional information that may be helpful for camp staff such as persons NOT allowed to pick up the camper {Skip if not applicable}
Your answer
Name of Church Camper attends (Please include City)
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Your answer
Person(s)/Church (other than parents) designated to take camper from camp. [IMPORTANT: ONLY the person(s)/church designated will be permitted to take the camper from Camp of the Good Shepherd premises during or following their camp]
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Your answer
A FREE 2024 Camp T-Shirt will be given to each student camper. Additional T-shirts may be purchased at camp. Please indicate for T-shirt size of camper.
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Child XS
Child S
Child M
Child L
Child XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Other:
Required
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