I am registering the participant for the following camp(s): *
Required
First Name *
Your answer
Last Name *
Your answer
Grade Entering in Fall 2022: *
Birthday *
MM
/
DD
/
YYYY
Participants Age as of June 1, 2022: *
Your answer
Gender *
Your answer
Sponsoring Church (Include City/State) *
Your answer
Home Address (Street, City, State, Zip) *
Your answer
Phone Number *
Your answer
Email Address *
This email address will be used to send out the registration and health forms that ALL youth AND adults will need to have on file in order to participate in 2022 Summer Camp at Kamp Kaleo. Please make sure that this is a valid email address.
Your answer
Parent/Guardian Name & Relationship: *
Your answer
Parent/Guardian Phone Number: *
Your answer
T-shirt Size (Unisex Shirts) *
T-shirts will be included in the registration price. Participants registered by the deadline will receive a camp t-shirt.