Rookie Summer Camp - Camper Registration
Entering or Exiting 1st, 2nd, or 3rd grade - July 17-20, 2020
Camper's Full Name
Full Name of Home Church
Church E-mail address
Church phone number
District of Home Church
Northeast Indiana Nazarene
Northwest Indiana Nazarene
Camper's Grade in School (2019-2020)
Camper's Food Allergies
gluten / wheat
fish / shellfish
Camper's Special Needs, Medical Conditions, or Diagnosis
I give permission for my child to receive mail from the camp staff or counselor after camp.
Yes, I give my permission.
No, I do not want my child to receive a card or letter.
Please complete ONLY if you answered "yes, I give my permission" to the last question. Camper's Mailing Address (Street Address, City, State, and Zip Code)
Parent / Guardian Name
Parent / Guardian Phone Number
Additional Parent / Guardian Name
Additional Parent / Guardian Phone Number
Roommate Preference (campers will be placed in a cabin with the other children from their Home Church)
A copy of your responses will be emailed to the address you provided.
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