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.
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