SUMMER CAMP REGISTRATION
Event Timing: July 8-12: Banana Splits Camp
                         July 15-19: How To Be a Mean (Nice) Girl
                         July 22-26: Young Men of Distinction
Event Address: 126 N. Main Street Chase City, VA
Contact us at (434) 210-0794  (434)210-6970  or 2yourpathway@gmail.com
Sign in to Google to save your progress. Learn more
Email *
Name (Camp Attendee) *
Guardian's Name & Phone Number *
Which camp will you attend? *
Required
Dietary restrictions *
I understand that I will have to pay one week prior to camp. The cost is $125 and includes a t-shirt.
 Payments can be made in person or via Paypal at 
Paypal.me@respath
If you have extenuating circumstances that impact payment, please contact us directly.  
434-210-0794 or 434-210-6970. Thank you!
 *
Required
What size Youth Shirt Do you need? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms