Galactic Starveyors 2018
Camp Registration Form
First Name
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Last Name
Your answer
Date of Birth
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DD
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Gender
Grade you just completed
Home Church
Your answer
Children's Pastor/Leader Name
Your answer
Children's Pastor/Leader Phone Number
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Emergency Contact Email Address
Your answer
T-Shirt Size
I give permission for the Florida District of the Wesleyan Church to take pictures of my child to be used in a newsletter, brochures or website promotional purposes.
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