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CAMP JAM 2019 REGISTRATION FORM
Event Timing: June 4-7, 2019
Event Address: Family Farm, Malvern, Arkansas
Contact us at jacob@isbcbryant.org
Camper's Full Name *
Grade Camper Completed *
Date of Birth *
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/
DD
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Does your family attend Indian Springs Baptist Church? *
Required
Where do you attend church when you go? *
Parent/Guardian's Full Name *
Street Address *
City, State, Zip *
Parent/Guardian's Email Address *
Parent/Guardian's Cell Phone # *
Emergency Contact Person *
Relationship to Camper *
Contact Cell Phone # *
Special Needs, Allergies, or Dietary restrictions we need to be aware of *
Does Indian Springs Baptist Church have permission to capture video/photographic images of the camper? *
Camper's T-Shirt Size (Check One) *
Required
Does this Camper have siblings that will be attending Camp Jam? If not, the Registration Fee is $100. It is due on the first day of Camp Jam. *
Required
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