Camp Discover 2017 Registration
July 10th-July14th
Haw River State Park (overnight)

Come spend the week with us as we discover The Gospel of Jesus Christ while enjoying fun activities such as archery, swimming, fishing, crafts, and team building.

The cost of camp is $195 per student with a deposit of $50 due June 17th.
Open to rising 6th-9th graders.

Email address *
My Life Matters Middle
First Name (Student's) *
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Last Name (Student's) *
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School *
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Student's Local Church *
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Age (Student's) *
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Gender (Student's) *
Birthdate *
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T-Shirt Size *
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Email (Parent/Guardian) *
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Additional Contact Person *
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Phone Number for Additional Contact *
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Student's Email Address *
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Student's Street Address *
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Student's Mailing Address *
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Mailing Zip Code *
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Allergies *
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Medications and Health Notes *
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Insurance Company *
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Name of Policy Holder *
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Insurance Policy number *
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