Summer Camp Registration 2017
Thank you for registering for Messiah Summer Day Camp. Each family must complete one registration online form. The form will take 15-20 minutes to complete and the following information will be required to submit. There is no option to save and return to the registration later.

-Parent Contact Information
-Three Emergency Contact's Information
-Doctor Contact Information, Hospital Preferences, Insurance Information.

There will be a link for online payment available at the end of the form if registering March-August. All registration fees must be collected within 30 days of registration in order to complete registration. If any required fields do not apply, simply state "N/A".

Please contact wpinkston@messiahnetwork.org for any questions or concerns.

Parent Email (This will be used for primary communication)
Your answer
Full Name of First Camper
Your answer
First Camper Sex
First Camper Birthday
MM
/
DD
/
YYYY
First Camper Grade in Fall 2017
First Camper's School Name
Your answer
First Camper's T Shirt Size
Are there any special camper needs to be aware of?
Your answer
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