Summer Camp Registration

Summer Camp Registration

Registration form for church summer camp Form Preview
Summer Camp Registration
  • 2017 Summer Camp Registration


  • Participant Information

  • Second Child Information

  • If you would like to pay later, you will receive an invoice from us in your email within the next 2-3 business days. If you wish to pay now you will be redirected to a payment screen after you submit the form. From 6/1 onwards the pay later option is not available.


  • Parent/Guardian Information


  • Health Information


  • Emergency Information

    We will not release children into the care of anyone who is not listed as either a parent/guardian or pre-registered as an emergency contact.Please list the name and daytime/cell phone numbers of additional emergency contacts below.


  • Confirmation

    BY ACKNOWLEDGING AND SIGNING MY INITIALS BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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