2017 Christian Community Summer Day Camp

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June 19-23

Please complete this registration form so your child can attend The Christian Community Children's Summer Day Camp, This camp is for children between the ages of 7 and 14 and takes place at the community property at 4221 Metzerott Rd, College Park, MD.

The deadline for submission of this registration form is June 1st.

The total costs of camp is $250, which does not include a non-refundable $25 registration fee. Please make checks out to The Christian Community with "Day Camp" in the Memo line.

You may contact Carol Kelly with any questions regarding registration or the camp.

Thank you,

Rev. Carol Kelly: carolkelly.cc@gmail.com or (845) 803-2071

Name of Child *

Child's date of birth and gender *

Names of Parents/Guardian and Emails *

Address *

Mobile phone number *

Work phone number *

Home phone number *

What do we need to know about your child? Please include any medical and dietary needs.

Check below if your child

swims

has a bike and can ride it long distances

does NOT have a bike, but can ride long distances

can not ride long distances

I am including my payment of

$25 registration fee and payment in full of $250 for a total of $275.

$25 non-refundable registration fee only

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