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Camp Wesley Woods (Presbytery of Des Moines) Camper Registration Form
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Email
*
Your email
Camper First & Last Name
*
Your answer
Camp Choice
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Event 100: Youth who have completed 2nd to 3rd grades; July 13-16, 2022; $275
Event 101: Youth who have completed 4th to 8th grades; July 11-13, 2022; $375
Event 102: Youth who have completed 9th to 12th grades (youth leaders); July 1-16, 2022; $375
Event 103: Young adults (returning as "staff" volunteers); July 10-16, 2022; $180 to cover food and lodging expenses
Required
Camper's Birthdate
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MM
/
DD
/
YYYY
Camper Grade for 2022-2023 School Year
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Your answer
Camper's preferred phone number
Your answer
Camper's home address (please include city, state, and zip code)
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Your answer
Camper's faith denomination (ie. Presbyterian, Methodist, Catholic, etc.)
Your answer
Parent/Guardian First & Last Name
*
Your answer
Relationship to Camper
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Your answer
Parent/Guardian's preferred phone number
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Your answer
Parent/Guardian email address
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Your answer
Emergency Contact First & Last Name (must be different from adult listed above)
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Your answer
Relationship to Camper
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Your answer
Emergency Contact preferred phone number
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Your answer
Emergency Contact email address
Your answer
List here any other adult name(s) & contact information you'd like us to have.
*
Your answer
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