Day Camp Registration
Please fill out the following form for each camper.
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Email *
Camper Information
Camper Name *
Parent / Guardian Name *
Camper's Home Address
Street Address
*
City *
State & Zip Code *
Home Phone *
Emergency Phone & Person to ask for in the event of an emergency *
Camper's Birthday *
MM
/
DD
/
YYYY
Home Church (if currently attending)
Camper's Last Grade Completed *
Camper's Gender *
Camper's Age (at time of camp attendance) *
Camp Shirts
CAMP SHIRTS - Day Campers may purchase available shirts at camp.  Shirts are $12.00 each for sizes Youth small - Adult XL and $15.00 for sizes XXL and XXXL.  Please bring payment when you come to camp if you'd like to purchase a shirt.
T-Shirt Request
If you plan to purchase shirts at Family Camp, please indicate the number and sizes of shirts you'd like.
For Example: 1 size XL, 2 size M, 2 size youth small
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