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Summer Camp Application 2023
DATES: JUNE 5 - JULY 28, 2023 GRADES: PRE-K – 6th (Ages 5-12) REGISTRATION FEE: $150 WEEKLY TUITION: $90
Child's First Name
Child's Last Name
Nickname
Email
Address 1
Address 2
Country
City
State
Zip/Postal Code
Date of Birth
Age
School Currently Attending
Please list any Extra-curricular Activities the Child is involved in:
Please list all Health Information below (Allergies & Medication):
EMERGENCY CONTACT INFORMATION:
First Name
Last Name
Phone Number
Please provide parent email address, and contact information below. We send emails and text messages throughout the year to inform parents and youth of upcoming events, cancellations, and ministry related information.
First Name
Last Name
Phone Number
Email Address
Submit
Registration Deposit
Weekly Camp Dues
download full packet here
