Hume Lake 2019 Registration
Nova Community Church registration for Middle School and High School Summer Camp.
June 30 - July 6.

Filling out the form will not mean you are immediately accountable for payment; it will help me see interest and contact you directly to confirm. If you have questions, email thomaswhiteside@novachurch.org or call my cell 310-947-4918.

Camper Name *
Your answer
Grade in Fall 2019 *
Name of Parent/Guardian (Primary Contact) *
Your answer
Email of Parent/Guardian (Primary Contact) *
Your answer
Phone of Parent/Guardian (Primary Contact) *
Your answer
Name of Parent/Guardian (Optional Secondary Contact)
Your answer
Email of Parent/Guardian (Optional Secondary Contact)
Your answer
Phone of Parent/Guardian (Optional Secondary Contact)
Your answer
$150 deposit is due before January 20, 2019. You can give to Nova by cash or check, or online by visiting novachurch.org/giving. Be sure to designate it for Hume Lake with your camper's name. *
Required
Any Questions or Concerns?
Your answer
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