Camp 4D2nd St Registration Form
Holmeswood Baptist Church's Camp 4D2nd St is for rising 2nd--8th graders interested in learning and performing a musical in 4 days! Camp is from August 6--9, from 9:00am--4:00pm. Cost is $70 (scholarships available), which includes daily lunch, snacks and field trips. Questions or Scholarship requests: contact Rev. Allen York, email
or call (816) 942-1729. Hope to see your kids/youth at camp!
*ONE form PER CAMPER, please.
*PAYMENT DUE: Monday, July 30
Camper's First and Last Name
Camper's Date of Birth
Grade entering in Fall 2018
Camper's T-shirt Size
Street Address, City, State, Zip code
Parent's First and Last Name(s)
Parent's Cell Phone Number(s)
Home Phone Number (optional)
Authorized Pick-Up Persons (Adults)
Food or Medical Allergies/Restrictions
Anything else we should know about your camper? (optional)
A copy of your responses will be emailed to the address you provided.
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