Camp WilaWit 2019
Registration form for Camp WilaWit at Perkinsville Baptist Church, June 17-21, 5:30-8:15 p.m.
Email address *
Parent/Guardian Name(s) *
Your answer
Phone Number (Cell)
Your answer
Phone Number (Home)
Your answer
Mailing Address
Your answer
Emergency Contact (Name and Phone of someone other than yourself that can be contacted in case we cannot reach you in an emergency)
Your answer
Church Membership (if applicable)
Your answer
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