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Micah 6:8 Enrollment
Please fill out this form to register your child for AMEN St. Louis's Micah 6:8 Camp, June 17th - 21st, 2019! You will receive a confirmation email and phone call when we receive your registration.
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Name
*
Your answer
Address
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Grade child will be entering Fall 2019
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6th
7th
8th
9th
Gender
*
Your answer
T-Shirt Size
*
XS
S
M
L
XL
XXL
Parent / Guardian Name(s)
*
Your answer
Parent / Guardian Primary Phone
*
Your answer
Parent / Guardian Secondary Phone
Your answer
Parent email
*
Your answer
Allergies, medical concerns, behavioral concerns, and/or dietary restrictions that program staff should know about:
Your answer
Price - Sliding Scale
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Discount - $75. You might consider this option if you are enrolling more than one child or if you have significant financial need.
Standard - $100. This is the actual cost of running the camp per child. You might consider this option if you are able to afford the full price.
Generosity - $175. This is the cost of your child's attendance PLUS a contribution toward another child's enrollment. You might consider this option if you are able to afford more than the standard price.
Other:
How did you hear about the camp?
Your answer
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