Mission and Music Camp 2019
Please complete the form below to register your child for our annual Mission and Music Camp. This year our campers will be performing the musical, Malice in the Palace: The Story of Esther, as well as doing some amazing mission work. Camp dates are July 8-12 from 9:00 am to 4:00 pm, with our performance on Sunday, July 14th at both the 8:30 and 11:00 services. Camp is open to rising 1st grade through 6th grade students. Cost for the week is $100 per camper. (There is a discount for 3 or more children.) The fee covers field trips, snacks, and materials. Each child is required to provide their own lunch daily.
Email address *
Parent/Guardian 1 Name & Phone Number *
Your answer
Parent/Guardian 2 Name & Phone Number *
Your answer
Emergency Contact Name & Phone Number (other than parents/guardians listed above) *
Your answer
Mailing Address *
Your answer
Child 1: First and Last Name *
Your answer
Child 1: Grade in the Fall *
Child 1: Birthdate *
MM
/
DD
/
YYYY
Child 1: Please list your child's allergies, medical conditions, or learning considerations: *
Your answer
Child 1: T-shirt Size: *
Child 2: First and Last Name
Your answer
Child 2: Grade in the Fall
Child 2: Birthdate
MM
/
DD
/
YYYY
Child 2: Please list your child's allergies, medical conditions, or learning considerations:
Your answer
Child 2: T-shirt Size:
Child 3: First and Last Name
Your answer
Child 3: Grade in the Fall
Child 3: Birthdate
MM
/
DD
/
YYYY
Child 3: Please list your child's allergies, medical conditions, or learning considerations:
Your answer
Child 3: T-shirt Size:
I would like to volunteer as a... *
Submit
Never submit passwords through Google Forms.
This form was created inside of Christ United Methodist Church. Report Abuse - Terms of Service