Kicklighter Christian Camp
Camper Application
Camper Name (First and Last) *
Your answer
Which camp will you be attending as a Camper. *
Home Address - Street Address and City, State Zip *
Your answer
Home Phone Number
Your answer
Sponsoring Church *
If you are not from one of the churches listed below please choose "Other" and list how you heard about Camp Kicklighter.
Church you Attend *
If you do not attend one of the churches listed below please choose "Other" and list the church you attend.
Age
Your answer
Birthdate
MM
/
DD
/
YYYY
Sex *
Grade you will have completed in School
Your answer
Number of years you have attended Camp Kicklighter
Your answer
T-Shirt Sizes *
Camper E-mail Address
Your answer
Camper Cell Phone Number
Your answer
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