2019 Pilgrim Pines Camp Online Registration

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Camper's Basic Information
Camper's First Name *
Your answer
Camper's Middle Initial
Your answer
Camper's Last Name *
Your answer
Camper Prefers to be Called
Your answer
Camper's Gender *
Is your camper a new camper? *
Please provide the name of your camper's home church
If applicable
Your answer
Your Camper's Grade *
Entering Fall 2019
Your Camper's Age *
As of July 1, 2019
Your answer
Your Camper's Birthdate *
MM
/
DD
/
YYYY
Your Camper's Age Group *
Accommodations can be made for campers who wish to join an age group one level up or down from their actual group. Please contact the Registrar for more information.
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