CentriKid Camper Registration
CentriKid Dates, July 16-20, 2018 - SBU, Bolivar, MO - Cost: $299
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Current Grade *
Birthday *
mm/dd/yyyy
Your answer
Gender *
Summer 2018 T-Shirt Size *
Parent / Guardian's Name *
Your answer
Home Address *
Your answer
Parent Phone *
Your answer
Parent Email *
Your answer
Has your child made a Salvation decision? *
Has your child been baptized? *
I understand I may pay in full any time prior to the parent / camper's meeting on June 20 but that final payment must be made by that date. Payments can be made online at https://goo.gl/8tavXq or by check made out to Parkway Baptist Church. *
I agree to attend the MANDATORY parent / camper's meeting on Wednesday, June 20 at 7:30 p.m. and have all forms completed by the end of that meeting. *
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