New Ebenezer Day Camp Registration 2019
REGISTRATION FORM AND FEE DUE BY MAY 30
Cash, check, or money order may be dropped off or mailed to:
ATTN: Paige Lauri – Summer Camp
2887 Ebenezer Road
Rincon, GA 31326
Email address *
Camper Name (First and Last) *
Your answer
Camp *
Explorers: $175; Voyagers: $195. Price includes lunch and t-shirt for all campers.
Required
Sex *
Date of Birth *
MM
/
DD
/
YYYY
School Name
Your answer
Current Grade (2018-2019) *
T-shirt Size *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service