Micah 6:8 Enrollment
Please fill out this form to register your child for AMEN St. Louis's Micah 6:8 Camp, June 17th - 21st, 2019! You will receive a confirmation email and phone call when we receive your registration.
Name *
Your answer
Address *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Grade child will be entering Fall 2019 *
Gender *
Your answer
T-Shirt Size *
Parent / Guardian Name(s) *
Your answer
Parent / Guardian Primary Phone *
Your answer
Parent / Guardian Secondary Phone
Your answer
Parent email *
Your answer
Allergies, medical concerns, behavioral concerns, and/or dietary restrictions that program staff should know about:
Your answer
Price - Sliding Scale *
How did you hear about the camp?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service