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Camper Registration for Christian Disciple Farm 2019
+Registration deadline is July 15, 2019
+Each child must be registered separately. Forms are available on the website if you would rather print and mail them.
+Camp is $35 per camper with a $140 maximum per family.
+To ensure a spot, register as early as possible.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Parent's Name(s) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Work Phone
Your answer
Other Phone
Your answer
E-mail
only if this is a good way to communicate with you
Your answer
Name & City of Home Church (if you have one)
Your answer
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