2024 Fun Life Summer Camp Registration                    June 24-28 (Monday - Friday)                     
Chinese Christian Church of Greater Washington DC. 
7716 Piney Branch Road, Silver Spring Maryland 20910
(This information will not be shared with any other organization. It will be used for summer camp only.)
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Email *
Child's First Name *
Child's Last Name *
Parent/Guardian’s Name *
Home Address *
Home Phone Number *
N/A if not available
Cell Phone Number *
Work Phone Number (Optional)
What grade will your child be in 2024 fall? *
EMERGENCY CONTACTS (other than listed above) *
Please give TWO (2) contact person's name & phone number
MEDICAL INFORMATION *
Please list any medical or health information that we need to know. Also include any and all ALLERGIES. If none, please fill out N/A.
OTHER INFORMATION *
Does your child attend Sunday School or Church?
May we have permission to photograph your child (i.e. group photos)? *
May we have permission to use your child’s photograph for promotional purposes (i.e. slideshow or website)? *
How did you hear about our Summer Camp? *

Cost $100:  please make check payable to CCCGW by May 31, 2024 for completion of the registration.  Please write your child(ren) name(s) on the check and indicates the check is for Summer Camp. Please bring it to church or mail the check to church. 

By completing this form I acknowledge that all the information provided is accurate. *
A copy of your responses will be emailed to the address you provided.
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