Camp Adventure Registration Form

Please join us as we head out on a High Seas Expedition. We will be exploring the mighty love God together this summer. We set sail July 12th - 16th (Monday to Friday), 6:30 - 8:30 p.m. @ The River.

Children Pre-K3 - 5th Grade are welcome. Pre-schoolers must be potty trained and must be 3 years old.

Name of Child #1: *

Grade Completed: *

Date of Birth: *

Name of Child #2:

Grade Completed:

Date of Birth:

Name of Child #3:

Grade Completed:

Date of Birth:

Parent/Guardian: *

Street Address: *

City: *

State: *

Zip Code: *

Home Phone: *

Cell Phone:

Email Address:

Emergency Contact Name: *

Emergency Contact Phone Number:

Allergies or Medical Conditions:

How did you hear about Camp Adventure?:

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Camp Adventure Registration Form

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