Trek Camp Child Registration 2024
Trek Camp Registration
Camp Copass
July 8-12, 2024
3-6 Grades Current Spring 2024
*
Child
First Name
*
Child
Last Name
Child
Email
Child
Mobile Phone
Any Other Medical Information?
* Parent/Guardian Name
* Parent/Guardian Phone Number
*
Child
Birth Date
* School Attending
* Current Grade Level (TREK CAMP)
Select one
3
4
5
6
*
Child
Address
*
Child
City
*
Child
State/Province
*
Child
Zip/Postal Code
* Secondary Emergency Contact Other than yourself
* Secondary Emergency Contact Phone Number
Child
Allergy/child notes
* Has your child been professionally diagnosed with ADHD, ADD, ODD or any other challenge(s) that we would need to know about that might help us to accommodate his/her learning in class?
* What are your kiddos favorite foods, hobbies, games to play, best friends?
* Tell us a little about your child. The good, the kind of good, the bad and the ugly. We can handle it!
* Child T-Shirt Size
Select one
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
* Has your child accepted Jesus Christ as their Lord and Savior?
Select one
Yes
No
* If so, have they followed through with baptism?
Select one
Yes
No
Interested in visiting with someone about baptism
Add Another Child
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