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Manderley Kids Camp 2020
Event Timing: June 22-25, 2020
Event Address: 100 Manderley Ln Pikeville, TN 37367
Contact us at
info@manderleycamp.org
or (540) 521-9821
Please Download the full registration form at
manderleycamp.org/kidscamp
and bring it on the first day of camp.
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* Indicates required question
Parent/Guardian Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Name of Child 1
*
Your answer
Age of Child 1
*
5
6
7
8
9
10
11
Other:
Required
Child 1 Food Allergies
*
Your answer
Name of Child 2
Your answer
Age of Child 2
5
6
7
8
9
10
11
Other:
Child 2 Food Allergies
Your answer
Name of Child 3
Your answer
Age of Child 3
5
6
7
8
9
10
11
Other:
Child 3 Food Allergies
Your answer
Name of Child 4
Your answer
Age of Child 4
5
6
7
8
9
10
11
Other:
Child 4 Food Allergies
Your answer
Payment - $50 per child for the week
*
ALL CHECKS SHOULD BE MADE OUT TO RENEWANATION
I would like to pay on the first day of camp by check or card.
I will send a check via mail to 100 Manderley Ln Pikeville, TN 37367
I would like to be sent an invoice to pay online to the email I have given.
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