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Rookie Summer Camp - Camper Registration
Entering or Exiting 1st, 2nd, or 3rd grade - July 17-20, 2020
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* Indicates required question
Email
*
Your email
Camper's Full Name
*
Your answer
Full Name of Home Church
*
Your answer
Church E-mail address
*
Your answer
Church phone number
*
Your answer
District of Home Church
*
Northeast Indiana Nazarene
Northwest Indiana Nazarene
Indianapolis Nazarene
Other:
Camper's Gender
*
Female
Male
Camper's Grade in School (2019-2020)
*
K
1st
2nd
3rd
Camper's Food Allergies
*
none
peanut
treenut
gluten / wheat
milk
egg
soy
fish / shellfish
Other:
Required
Camper's Special Needs, Medical Conditions, or Diagnosis
Your answer
I give permission for my child to receive mail from the camp staff or counselor after camp.
*
Yes, I give my permission.
No, I do not want my child to receive a card or letter.
Please complete ONLY if you answered "yes, I give my permission" to the last question. Camper's Mailing Address (Street Address, City, State, and Zip Code)
*
Your answer
Parent / Guardian Name
*
Your answer
Parent / Guardian Phone Number
*
Your answer
Additional Parent / Guardian Name
Your answer
Additional Parent / Guardian Phone Number
Your answer
Roommate Preference (campers will be placed in a cabin with the other children from their Home Church)
Your answer
A copy of your responses will be emailed to the address you provided.
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