Request edit access
Chalice Camp 2023 Registration
Welcome to Chalice Camp 2023 registration! Please fill out the following information about you and your child, click submit and check for a confirmation email!
Sign in to Google to save your progress. Learn more
Email *
Name of Child *
Childs Pronouns *
Birthdate *
MM
/
DD
/
YYYY
Grade Entering in Fall 2023 *
Please check which hours your child will spend with us. (Note: Cost of extended care is 50$ extra for any portion of extended care.) *
Is your child entering 7th-9th grade and applying to be a CIT?
Clear selection
Name of Home Church
What is your child’s T-shirt size? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms