2017 Confirmation Camp group registration
Please fully complete this form and submit a $100 deposit to complete registration.

If you have any questions, please contact Ava at program@agapekurebeach.org or 919-552-9421.

Congregation Name:
Your answer
Church Address:
Your answer
Congregation Main Contact:
Your answer
Email:
Your answer
Phone Number
Your answer
Alternate Phone Number:
Your answer
Pastor's Name (if not main contact):
Your answer
Please choose the week you plan to attend:
Estimated Number of Female Campers:
Please contact us to update these numbers as soon as there is a change
Your answer
Estimated Number of Male Campers
Please contact us to update these numbers as soon as there is a change
Your answer
Number of Adult Leaders:
(adult leaders must be at least 21 years of age)
Your answer
I have access to and have read the confirmation packet. I understand the responsibilities of Agapé Kure Beach Ministries pertaining to the Campfirmation program. I also understand the responsibilities of my congregational group--prior to and during the Campfirmation week. I agree to abide by the guidelines set forth in mutual commitment to sharing the Gospel of Jesus Christ with all people.
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