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Radiance Camp 2019 Registration Form
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
City/State/Zip Code
*
Your answer
Cell Phone Number (to contact you during camp)
*
Your answer
Type of Camper
*
Cabin
Day Visitor
Tent
Would you like to be on the waiting list in case a cabin becomes available?
*
Yes
No
Number of Adult Campers
*
0
1
2
3
4
5
6
7
8
9
10
Number of Youth 13-17
*
0
1
2
3
4
5
6
7
8
9
10
Number of Children 3-12
*
0
1
2
3
4
5
6
7
8
9
10
Number of Children Under 3
*
0
1
2
3
4
5
6
7
8
9
10
Number and Sizes of T-Shirts
0
1
2
3
4
5
Child 6-8
Child 9-11
Child 12-14
Adult S
Adult M
Adult L
Adult XL
Adult XXL
0
1
2
3
4
5
Child 6-8
Child 9-11
Child 12-14
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Clear selection
Would you like to volunteer to serve at the camp?
*
Yes
No
Registration
Food and drinks
Teacher
Activities
Yes
No
Registration
Food and drinks
Teacher
Activities
Do you have any of the following dietary restrictions? If you have other dietary restrictions, we will do our best to accommodate you but recommend you bring alternative meals.
No dietary restrictions
Vegetarian
Vegan
Other:
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