Built For Battle Kids Boot Camp 2020
This is the online registration for the Kids With A Mission Kids Summer Day Camp. Online is the only place that you can register your child / children for this special event.

The cost of the day camp is $25 per child.  That includes lunch, dinner, snack, craft, and t-shirt.   
This amazing event will be held at Church of the Heartland - Plymouth on Saturday, July, 25th.  
Registration is at 11:00 am ET / 10:00 am CT .  
Dismissal is at 7:00 pm ET / 6:00 pm CT
Any kids currently in Kindergarten through 5th grade can attend.  
The children will each have a camp counselor.  
Having fun with Jesus in a safe way is our top priority.  
If you have any questions at all, feel free to contact Mitch Jensen at 574-806-6749 or email him at mitchc.jensen@gmail.com ​
Please fill out this form completely. All of the information on this form is strictly confidential.
After you have completed this online form. Please go back to www.churchoftheheartland.com/kidsdaycamp and finish the registration by submitting the payment of $25 per child. The registration fee is non-refundable.
Email address *
Built For Battle Kids Boot Camp 2020
Parents / Guardians Names *
I Would Like To Help at Camp (All helpers must be at least 14 years old, pass a recommendation by their local pastor and be willing to undergo a criminal background check. You will be contacted by camp staff for more information.) *
How Many Children Are You Registering? *
Child(ren)'s Full Name(s), Gender and Grade (Ex. Timmy Smith, M, 1st) *
Choose a T-Shirt size for each child: (Please indicate Adult or Youth Size please) *
Names And Numbers For Emergency Contact (3 Needed) *
What Church Do You Attend *
Home Address *
City, State, Zip *
List all allergies*/medical/behavioral conditions: (*food allergies-please bring a meal replacement with your child and notify staff at registration)
If your child is taking any medications, please list medication, dosage amount and directions
Camp is located at Church of the Heartland - Plymouth, 705 East Jefferson St., Plymouth, IN. I understand that transportation to and from Kids Day Camp is my responsibility as a parent/guardian. *
I give my permission for the children I am registering to attend Kids Day Camp. In the event that my child becomes ill, violent or uncontrollable for staff, I will pick him/her up within one hour. Furthermore, I release COTH members, employees for any and all liability that may occur. I ask that COTH take any and all meausures necessary to ensure my child's health and safety. *If your child is involved in a medical emergency, COTH will contact parent/guardian, child's doctor and, if necessary, COTH will take your child to Plymouth Hospital. *
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