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Beach Camp 2018 Registration form July 22 - 28, 2018 at Emma Wood State Beach $299 on June 10, $349 starting on June 11 Registration ends on July 8 Student’s Name: Parent’s Name:
Parent Information Mailing Address:
Parent’s primary contact phone number:
___ Home ___ Cell
Email address where you would like to receive notifications and updates:
Student Information Grade student will enter in 2018 / 19 school year:
Student’s shirt size:
Tent mate Requests:
Does your student wish to be baptized?
Yes
Considering Baptism
Any Special Instructions Regarding this camp (i.e. Picking your child up early, dropping off late, etc.)?
I will review all the information I receive when I register my student. I recognize that I am responsible for reading it and knowing the information. I recognize that I am financially responsible for my student’s camp fee. I will help to make sure that my student adheres to the rules of the camp. Parent Signature: For Office Use: Amount Paid: Date: __________________
_____ Cash
_____ Check #____________
Initial : Initial
Additional Payments:
Notes: