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Nite Kamp Registration 2016
Registration Form for Nite Kamp at SpringsLife Church on June 27-July 1 from 6pm-8:30pm. For children entering grades K-6.
Please fill the form out for each child you are registering.
Child's Name *
Your answer
Grade Completed *
Your answer
Age *
Your answer
Parent/Guardian Name *
Your answer
Home Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Alternate Contact Name *
Your answer
Alternate Contact Phone *
Your answer
Relationship of Alternate Contact to Kamper *
Your answer
Does the Kamper have any food allergies? *
Please list the allergies if yes.
Your answer
Does the Kamper have any medical concerns? *
Please explain if yes.
Your answer
List anyone else who might pick up the Kamper.
Your answer
What days will the Kamper be attending? *
Nite Kamp will be from 6-8:30pm (June 27-July 1) Monday-Friday.
Your answer
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