Summer Camp 
Please fill this out to your best ability. Any questions, please call the school @ 402-562-6470

Cost is $65 per camper for the week or $15 per day. Please bring payment to the 1st day of camp. We accept cash or checks. Camp is held at Columbus Christian School. 
Please fill out one form PER CAMPER.

*Please note that we need at least 10 students with a max of 30 students!
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Email *
Name of Parent(s) *
Address *
Phone Number *
Emergency Contact Name & Number *
Childs Name *
Age of Child *
What days will this camper be in attendance? *
Required
Does your child have Asthma? *
Does your child have allergies? Please list
Does your child have food restrictions? Please list
Who is allowed to pick up your child? Please list all applicable (if not listed, then your child is not allowed to leave with them) *
Photo/Video Release:  Photo/Video Release: Upon enrollment to Camp, you automatically grant permission to photograph or video tape students for use in promotional materials and social media. *
What Camps would you like your student to attend? *
Required
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