2018 Camp Salem Overnight Registration
October 19-20, 2018
6:30 P.M. Friday - 2:30 P.M. Saturday
Email address *
Last Name *
Your answer
First Name *
Your answer
Grade *
Gender *
Church *
Parent/Guardian *
Your answer
Phone *
Your answer
Address *
Your answer
Emergency Contact *
Your answer
Please list any Medical Needs and/or Special Diet
Your answer
I give permission for my child to attend the Salem Association overnight camp and certify that my child is able to participate in all activities at camp. *
Your answer
T-shirt size
Your answer
My child will attend...
Please contact me about volunteering. Please mark areas of interest
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Meade County School District. Report Abuse - Terms of Service - Additional Terms