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Please fill out one application per camper
Event Date: April 19-20, 2024
Event Address: 71 Malta Street, Brooklyn, NY
Cost: $25
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Camper's Last Name
*
Your answer
Camper's First Name
*
Your answer
Camper's Address
*
Your answer
Date of Birth
*
Your answer
Age
*
Your answer
Please check the camp that corresponds with your age
*
Discoverers (ages 6 -8)
Trailblazers (ages 9 - 12)
Pioneers (ages 13 - 18)
Required
Parent or Guardian Name
*
Your answer
Telephone
*
Your answer
Email
*
Your answer
Name of Local Church
*
Your answer
I understand that there will be photos and video recordings during camp. I give consent for photos or video recording of my child/ren to be used by Church of God of Prophecy to promote regional youth camp
*
Yes
No
Required
Parent/Guardian Signature ( By putting your name here you are electronically signing this form)
*
Your answer
Please click link on confirmation page that follows to make your donation. Thank you.
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