Gateway PA Day Camp Registration
Our PA Day Camps are for children in JK – Grade 6 and offer a full day of activities!

• Dates: Sep 29, Oct 27, Nov 17, Jan 19, April 27 & June 8
• Hours: 8:30 AM – 4:30 PM
• Cost: $25/camp
• Note: Bring your own nut-free lunch and two snacks.

REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED. SPACES CAN NOT BE HELD.

Email address *
Choose your camp(s)!
Please register only one child per form, but feel free to register for multiple days now if you like.
Date choice(s) *
Required
Camper Information
(One child per form. You will be given the option to complete another form.)
First & last name *
Your answer
Grade (JK to Grade 6) *
Allergies
Your answer
Any other information we need to be aware of:
Your answer
Parent/Guardian Contact Information
Please note the information provided is kept confidential as per Gateway Church privacy policy.
Parent/Guardian Full Name *
Your answer
Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Home Phone *
Your answer
Emergency Contact
Please provide a number that can be used to reach you during the day. ie: home, cell, business.
Phone Number *
Your answer
Additional Emergency Contact: Name & Phone *
Your answer
Thank you! The next screen will provide you with a link to pay online via PayPal. You do not need a PayPal account to use your credit card.
Please click once and wait. Sometimes it takes a few seconds to process depending on your internet speed.
Once you see the "Thank you!" screen, you'll know it has gone through.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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