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Day Camp Registration
Please fill out the following form for each camper.
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* Indicates required question
Email
*
Your email
Camper Information
Camper Name
*
Your answer
Parent / Guardian Name
*
Your answer
Camper's Home Address
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone
*
Your answer
Emergency Phone & Person to ask for in the event of an emergency
*
Your answer
Camper's Birthday
*
MM
/
DD
/
YYYY
Home Church (if currently attending)
Your answer
Camper's Last Grade Completed
*
Choose
Kindergarten
1st
2nd
3rd
4th
5th
Camper's Gender
*
Male
Female
Camper's Age (at time of camp attendance)
*
Your answer
Can camper swim?
*
Yes
No
Any special requests?
Your answer
Camp Shirts
CAMP SHIRTS - Day Campers may purchase available shirts at camp. Shirts are $20.00 each and come in sizes youth small to adult XXXL. Please bring payment when you come to camp if you'd like to purchase a shirt.
T-Shirt Request
If you plan to purchase shirts at Day Camp, please indicate the number and sizes of shirts you'd like.
For Example: 1 size XL, 2 size M, 2 size youth small
If you do not want to request any shirts, write NO SHIRTS.
*
Your answer
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