Kids Camp Registration Form

Kids Camp Registration

Kids Camp is for kids who have finished 3rd grade through those who have finished 6th grade.

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email

Gender

Grade Completed

Birthday

Home Church

T-shirt Size

Emergency Contact 1

Emergency Contact Phone Number

Emergency Contact 2

Emergency Contact Phone Number

Medical Notes

Parent/Guardian Signature

Signature

Parent/Guardian Name

First Name

Last Name

Date Completed