Sr. High 2018 (Grades 10-12)
Date: July 15-21. 2018
Deans: Matt Wilson & Jared Delagrange
Contact Matt Wilson at: mawwil@hotmail.com
Contact Jared Delagrange at: jdde163@cccb.edu
Email address *
Gasconade Christian Service Camp
Camper Name (no nicknames) *
Your answer
Mailing Address *
Include State and Zip Code
Your answer
Grade Entering 2018 *
Home Church
Your answer
Name of Friend to be paired with (1st)
Your answer
Name of Friend to be paired with (2nd)
Your answer
Camper E-mail (optional)
Your answer
Camper Date of Birth *
MM
/
DD
/
YYYY
Will camper be in attendance all week? *
Required
Has the camper been baptized into a relationship with Jesus Christ? *
Where does your child attend school?
Your answer
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