Jackson Park Church of Christ Camp Meribah Application
Cost per camper is $90 if application turned in no later than May 7th
Cost increases to $110 if application turned in AFTER May 7th
Get your application in and save money.

Campers love mail!
Mailing Address:
138 North Central Avenue
Centerville, TN 37033

Email address *
Camper’s Name: *
Friend of:
Last grade completed (completed 3rd-12th grade only): *
Street Address: *
City, State, Zip: *
T-Shirt Size: *
Date of Birth: *
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DD
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YYYY
Gender: *
Parent/Guardian name: *
Parent/Guardian phone: *
Parent/Guardian email address: *
Please mark the activities your camper wants and has permission to participate in (check all that apply): *
Required
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This form was created inside of Jackson Park Church of Christ. - Terms of Service - Additional Terms