Registration Form
Hope Covenant Church: Summer Day Camp for Kids (ages 4 - 5th grade). One Registration per child. Discounted rates for referring a friend not currently attending Hope!
Dates: June 10 - 14 (9am - 12pm) Monday - Friday
Cost: $20 per child, $30 per family, $10 if you bring a guest!
Email address *
Child's name *
Your answer
Child's age *
Your answer
Date of birth *
MM
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DD
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YYYY
2018/2019 school grade *
T-shirt size (child size) *
Name of parent(s) *
Your answer
Street address *
Your answer
City, state & zip *
Your answer
Home telephone *
Your answer
Parent/caregiver's cellphone *
Your answer
Home church
Your answer
I was referred by
Your answer
Allergies or other medical conditions *
Your answer
In case of emergency, contact *
Your answer
Phone *
Your answer
Relationship to child *
Your answer
Payment Total (Return to HopeCov.com to make payment)
A copy of your responses will be emailed to the address you provided.
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