Evangel Day Camp Registration 2019
**Obligatory payment in order to register ** ** One registration form per child **

Date:July 1-5 Time: 9am-1pm (doors open 8:30 am daily)
Ages: 4-12 years Location: 1235 Lambert-Closse

Child care from 1-5 pm daily for $10 extra per child for the week.

Prices (*Includes lunch, snack, craft materials, etc for the week):
$65* per child until May 31(early bird rate)
$75* per child as of June 1

Get KIDZ Summer events sheet from Get Connected or Pastor Shannon
Child's Information
Child's FIRST NAME *
Your answer
Child's LAST NAME *
Your answer
Child's Age *
Child's Allergies *
Your answer
Medicare Card # *
Your answer
Parent/Guardian Information
Parent/Guardian FIRST NAME *
Your answer
Parent/Guardian LAST NAME *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone Number *
Your answer
Extended Child Care (1-5 PM daily)
An additional fee of $10 per child for the week.
Do you require extended child care? *
IMMEDIATELY AFTER you have pressed NEXT below, you will be shown A LINK that takes you to the PushPay portal to pay for the daycamp.
I acknowledge that my registration is not complete until my payment is made. *
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