Registration Form for Castle of Courage 2022
Presented by Victory Church and Shiloh Church
When: Monday, July 11th through Thursday, July 14th, from 6:30pm to 8:30pm
Where: Shiloh Family Life Center
Sign-in at 6pm

Questions? Please call Shiloh Church (812) 634-9542 or email Jenny Weyer at children@shilohjasper.org
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Email *
Brent Foster *
812-929-2385 *
4170 Timberpoint Ct Jasper, IN 47546 *
Victory
Brent Foster
Father
812-929-2385
Shalyn or Brent Foster
Charlotte Foster *
Child's Grade *
7 *
N/A
More children to register? If no, scroll down to end of form and click submit. If yes, continue to complete form.
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2. Child's Name
Child's Grade
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Child's Age:
Allergies or other medical conditions or special needs:
3. Child's Name
Child's Grade
Clear selection
Child's Age:
Allergies or other medical conditions or special needs;
4. Child's Name
Child's Grade
Clear selection
Child's Age:
Allergies or other medical conditions or special needs:
Any additional children? If yes, please type out their name, age, grade level and any allergies or medical conditions.
Submit
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