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2019 Summer Celebration Camp Registration
CRC's 2019 Summer Celebration Camp will be held Tuesday, July 16th to Friday, July 19th.

Below you will find our online registration. Please fill out the family contact information at the top of the page. Then fill out the name, date of birth, grade and allergies for each child you would like to register. Make sure to click the submit button at the very bottom of the page.

Please sign the permission form and legal release at HelloSign link following your registration.

Questions? Contact Ryan Bouton (ryan.bouton@christredeemerchurch.org).

Family Information & Emergency Contacts
Family Name *
Your answer
Parent/Guardian #1 & Daytime Phone Number *
Your answer
Parent/Guardian #2 & Daytime Phone Number
Your answer
In case of emergency, first contact should be: *
if you select a non-parental emergency contact, please include a phone number for them below
Email Address *
(if more than one parent should receive emails about the event, please list both emails here)
Your answer
Home Address *
Your answer
Pediatrician & Phone Number *
Pediatrician information will be provided to the hospital in case of a serious emergency.
Your answer
First Child's Registration
First Child's Name *
Your answer
First Child's Date of Birth *
Your answer
First Child is Entering *
First Child's Allergies
Your answer
Second Child Registration
Second Child's Name
Your answer
Second Child's Date of Birth
Your answer
Second Child is Entering
Second Child's Allergies
Your answer
Third Child Registration
Third Child's Name
Your answer
Third Child's Date of Birth
Your answer
Third Child is Entering
Third Child's Allergies
Your answer
Fourth Child Registration
Fourth Child's Name
Your answer
Fourth Child's Date of Birth
Your answer
Fourth Child is Entering
Fourth Child's Allergies
Your answer
Do any of your children require special assistance? *
Please describe the need below. If you have more than one child registered, please also indicate which child/ren require special assistance.
Your answer
Additional Questions
Church Home
Your answer
How did you hear about CRC's Summer Celebration Camp?
Your answer
Additional Comments
Your answer
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