Mini Camp Child Registration 2024
Mini Camp July 12-13, 2024
Registration
1-2 Grades - Current Spring 2024
*
Child
First Name
*
Child
Last Name
*
Child
Parents Email
* Parent/Guardian Name
* Parent/Guardian Phone Number
*
Child
Birth Date
* School Attending
* Mini Camp Grade Level (Spring 2024)
Select one
1st
2nd
*
Child
Address
*
Child
City
*
Child
State/Province
*
Child
Zip/Postal Code
* Secondary Emergency Contact Other than yourself
* Secondary Emergency Contact Phone Number
* 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?
*
Child
Allergy/child notes
*
Child
Medications Taken
* What are your kiddos favorite foods, hobbies, games to play, best friends?
* 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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Mini Camp July 12-13, 2024