Summer Camp at Good News Church Participant Information and Registration

Child's Name

Child 2 (If Applicable)

Child 3 (If Applicable)

Early Bird Special Expires 4/15 Coupon Code: Summer23

Week 1 Camp June 26th-30th

Select all that apply:

Week 2 Camp July 5th-7th (Short Holiday Week 3 days)

Select all that apply:

Please don't forget to enter the coupon code below to get your. EARLY BIRD DISCOUNT

Early Bird Special Expires 4/15 Coupon Code: Summer23

Current Total:
$0.00

Adult Primary Contact 1

Relationship to Participants: *
 

Adult Primary Contact 2

Relationship to Participants:
 

Emergency Contact

Primary Care Pediatric Contact

Sports and Arts Participation Waiver

Please Sign Below: *
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Sports and Arts Covid Waiver

Signature *
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Payment