Landmark Youth Camp 2019 "The Lord's Been With Me All the Way"
Please complete the entire form, both sections. Submission of the application indicates that you agree with the camp rules and expectations.
Camper Information
Last Name *
First Name *
Age *
Gender *
Address *
Parent/Guardian Information
Parent/Guardian Name *
Phone Number *
Emergency Contact
Name *
Relationship to Camper *
Phone Number *
Church Information
Church Name *
Pastor's Name *
Pastor's Phone Number *
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