2021 Southside Christian Camp Camper Application

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Email *

CAMP RULES CAN BE FOUND HERE. BY SUBMITTING THIS FORM YOUR CAMPER AGREES TO FOLLOW ALL CAMP RULES ( https://docs.google.com/document/d/1pUywwTsjHNnE7i1bBYrs2VmOi1JXJFLy9OLP9yVALNs/edit?usp=sharing ). Thank you for filling out the online application for 2021! Please note that payment of $100 is due at Southside Church of Christ before your camper's spot is reserved. By submitting this online application, you agree that your camper will abide by all camp rules. Applications due by May 31st! Online Payment can be found HERE: https://www.osvhub.com/southsidehopkinsville/funds/camp-reedy-payment

Camper First Name *

Camper Last Name *

Gender *

Female

Male

Date of Birth *

YYYY

Grade Completed May 2021 *

Please list up to 3 other campers with whom you would like to share a cabin (N/A for no preference). We will make every attempt to place you in a cabin with at least one choice; however, we cannot guarantee that it will work out. *

T Shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult XL

Other:

Current Address *

Parent / Guardian Name *

Phone Numbers *

Parent / Guardian Email Address

Additional Contact (Relation and phone number)

Home Congregation

Will you need transportation to and from camp? *

Yes

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