2019 Southside Christian Camp Camper Application

Email address *
Thank you for filling out the online application for 2019! Please note that a signed copy of the application and payment of $100 is due at Southside Church of Christ before your camper's spot is reserved. Applications received BEFORE MAY, 31 2019 are eligible for a $10 discount. Please print and sign the physical application here (https://drive.google.com/file/d/1Mpf27JQzmq-DarrTDjhffHhg-YyLudK2/view?usp=sharing)
First Name *
Your answer
Last Name *
Your answer
Gender *
Date of Birth *
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Grade Completed May 2019 *
T Shirt Size *
Current Address *
Your answer
Parent / Guardian Name *
Your answer
Phone Numbers *
Your answer
Parent / Guardian Email Address
Your answer
Additional Contact (Relation and phone number)
Your answer
Home Congregation
Your answer
Will you need transportation to and from camp? *
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