Summer Kids Camp 2017
Child's Name
*
Child's Age
*
11
12
13
14
15
Parent's Name(s)
*
Address
*
City, State, Zip
*
Home Phone
*
Emergency Phone
*
Do you want to purchase a Kid's Camp T-shirt for your child?
*
No Thanks
Yes - XS (Add $12.00)
Yes - S (Add $12.00)
Yes - M (Add $12.00)
Yes - L (Add $12.00)
Yes - XL (Add $12.00)
Is your child allergic to any foods/medicines?
On "Day 5", campers will have the option to go to the water park, or ride four-wheel ATVs. Please choose which activity your child will participate in.
*
Water Park
Four Wheel ATVs (Add $8.00)
Please be aware that there will be a mandatory parent's meeting on the thursday before we leave at 7:00 PM in the Fellowship Hall.
Your Email Address
*
Base Price
$
Modifications
$
Total
$
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