Kids Camp Registration

Parent's First Name

Last Name

Camper's First Name

Last Name

Phone Number

Email

Camper's Grade Completed by May of 2023

Camper's T-Shirt Size

Would you be interested in becoming a Kid's Camp chaperone?
Yes
No
Maybe

Chaperone T-Shirt Size

I would like to schedule an appointment regarding a scholarship for my camper(s)
Yes
No

Pay Online using PushPay by selecting "Give one time" under Kids Events

How do you plan to pay the $75 registration fee? (Select One)