Flaming Spirit Registration Form
Camper's First Name
Your answer
Camper's Last Name
Your answer
Camper's Home Address
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Numbers
Parent/Guardian Name
Your answer
Parent/Guardian Home or Cell Phone (1) #
Your answer
Parent/Guardian Home or Cell Phone (2) #
Your answer
Parent/Guardian Work Phone #
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone #
Your answer
Additional Camper Information
Is the registrant an immersed believer?
Date of Birth
MM
/
DD
/
YYYY
School Grade Fall '16
Gender
T Shirt Size
Which Camp will you be attending?
Based on school grade level for fall 2016 school year.
Home Church
If other church, please specify
Your answer
If your church pays all or part of your child's registration, please indicate the amount your church will be paying below: (if none, enter zero)
Your answer
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