Camp Connect 2019 Registration
For kids in completed grades K- 6th grades. Camp Cost is a suggested $35 per child payable to Jackson Way Baptist Church. This can be paid on the 1st day of camp or beforehand. If paying before camp, please indicate “Camp Connect” in the memo portion of your check.
Parent's Full Name *
Your answer
Child's Full Name *
Your answer
Gender *
Grade child completed
Email *
Your answer
Phone number *
Your answer
Home address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Names of those who may pick up your child *
Your answer
Medical Information
Child's allergies or medical concerns *
Your answer
In case of emergency, contact:
Name *
Your answer
Phone Number *
Your answer
Sport Choice
Please indicate your 1st and 2nd choice.
Soccer
Favorite
Least Favorite
Basketball
Favorite
Least Favorite
Cheerleading
Favorite
Least Favorite
Other: Alternative Recreation
Favorite
Least Favorite
Child's t-shirt size *
Required
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