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Summer Day Camp
All families are welcome to join us for Summer Day Camp
The week of June 5 – June 9!
Day Camp Registration Form (One Per Child) (1)
We would love to hear from you! Please fill out this form and we will get in touch with you shortly.
Child's First & Last Name
Child's Age
Date of Birth
Last school grade completed
Name of Parent(s):
Street Address:
City:
State:
ZIP:
Home telephone: ( )
Parent/Caregiver's cell phone: ( )
Home e-mail address:
Home Church:
Allergies or other medical conditions:
In case of emergency, contact:
Phone:
Relationship to child:
