Purpose & Promise - Summer Camp Registration form
Camp Dates: June 2 – August 1, 2025
 Includes: Field Trips & Lunch
💲 Cost: $180 per week
💲 Registration Fee: $50 (non-refundable)  
  
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Email *
Child's Name *
Age *
T-shirt Size

 *
Parents/Guardian Name *
Parents/Guardian Primary & Secondary Phone number *
Home Address *
Who is authorized to pick up your child? (List all names & phone numbers)   *
Which weeks will your child attend? (Check all that apply)   *
Required
📌 Payment Agreement
I understand that the camp fee of $180 is due Weekly and the $50 registration fee is non-refundable.   *
Required
State your Questions or suggestions here: *
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