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 Allen.york@holmeswood.org or call (816) 942-1729. Hope to see your kids/youth at camp!
*ONE form PER CAMPER, please.
*PAYMENT DUE: Monday, July 30
Email address *
Camper's First and Last Name *
Your answer
Camper's Date of Birth *
MM
/
DD
/
YYYY
Grade entering in Fall 2018 *
Required
Camper's T-shirt Size *
Required
Street Address, City, State, Zip code *
Your answer
Parent's First and Last Name(s) *
Your answer
Parent's Cell Phone Number(s) *
Your answer
Home Phone Number (optional)
Your answer
Parent's Email *
Your answer
Authorized Pick-Up Persons (Adults) *
Your answer
Food or Medical Allergies/Restrictions *
Your answer
Anything else we should know about your camper? (optional)
Your answer
A copy of your responses will be emailed to the address you provided.
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