Middle School Camp Registration
Please fill out the following form for each camper.
Email address *
Camper Information
Camper Name *
Your answer
Parent / Guardian *
Your answer
Home Address *
Your answer
Home Phone *
Your answer
Emergency Phone & Person to ask for in the event of an emergency *
Your answer
Camper's Birthday *
MM
/
DD
/
YYYY
Home Church (if currently attending) *
Your answer
Camper's Last Grade Completed *
Camper's Gender *
Camper's Age (at time of camp attendance) *
Your answer
Camp Shirts
For all children's camps - a camper shirt is included in the registration fee.
Camper's T-shirt Size *
Cabin Request
Your answer
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