Register Your Child

Register by June 30 to guarantee a free t-shirt!

**3 year olds must be potty trained to be eligible for registration.

Photos: We have a wonderfully kind church member, Ms. Karen, who will be taking photos throughout the week. These photos will be posted on our church Facebook page and website. Your completed registrations indicates your agreement.

We're looking forward to seeing you in July!

We found some errors when you submitted your information. Please see below and fill in the information needed.

Parent Personal Information

Parent First Name:

Parent Last Name:

Address 1:

Address 2:

City:

Country:

State:

Zip:

Email:

Re-Enter Email:

Home Phone Number: (xxx-xxx-xxxx)

Cell Phone Number: (xxx-xxx-xxxx)

Other Phone Number: (xxx-xxx-xxxx)

Emergency Contact

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Phone 1: (xxx-xxx-xxxx)

Emergency Phone 2: (xxx-xxx-xxxx)

Alternate Pickup First Name:

Alternate Pickup Last Name:

Alternate Pickup Phone: (xxx-xxx-xxxx)

Other Information

Home Church (If Applicable):

Please list child's food or other allergies.:

Kid-friendly suppers will be served at 5:30 pm, MONDAY - THURSDAY. **Please note that no dinner is served on Day 1, Sunday.** To help with planning, please indicate which evenings you would be eating with us, and the number of adults and children.: