KIDS CAMP REGISTRATION

To register yourself or your group for Kids Camp 2010, complete the fields below and select the SUBMIT FORM button to be redirected to the secure payment site.  Registration fees are non-refundable but may be transferred within the same event / week of camp.  Up to 10 campers may be registered at one time.  Registrations must be postmarked 14 days prior to the start of the camp week in order to receive discount.  If you need additional assistance, please contact our office at 478.405.5901, x-19.

All campers must present a signed medical release form and a head lice screening will be perfomed on each camper.  Campers who do not have a signed medical release or who do not pass the lice screening will not be allowed to stay; transportation home will be the responsibility of the parent or guardian.

All campers must agree to, and abide by, the camp rules and guidelines.  Any camper who does not abide by the stated guidelines will not be allowed to stay; transportation home will be the responsibility of the parent or guardian.  >> Click here to read the Camp Rules & Guidelines

 I / We have read, and agree to abide by, all camp rules and guidelines.

**PLEASE NOTE:  As a part of the security features of our payment processor, back-to-back registration payments will result in an error message.  You MUST close out your browsing session and re-open your internet page to process another payment.  Accepted forms of payment are: VISA, Mastercard, and Discover.  AMEX is no longer accepted through our payment processor.


STEP ONE  |  YOUR INFO

Contact Name:  Church:  Section:

Email:  Phone:


STEP TWO  |  YOUR ATTENDEES

List the names, guardian and contact info for each attendee.

Child 1:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 2:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 3:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 4:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 5:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 6:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 7:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 8:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 9:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:

Child 10:  Parent/Guardian:  Cell: Home:  Emergency Contact & Phone:



STEP THREE  |  YOUR CAMP

Select one week of camp the attendees above will be participating in; if you are registering for more than one week of camp, please complete a separate registration.


Kids Camp 1 - July 5-9  |  Speaker: Pastor Dave White & Pastor David Clymer

Kids Camp 2 - July 12-16  |  Speaker: Pastor Russell Smith

Kids Camp 3 - July 19-23  |  Speaker: Pastor Christopher Peterson



STEP FOUR  |  YOUR PAYMENT

Enter the number of attendees your are registering in each field;  if the field does not apply, please enter "0".  If you are purchasing camp t-shirts, enter the quantity information in the size fields.


Deposit Registration:  $45.00  X    (Balance due upon arrival)

----  OR, PAYMENT IN FULL (shown below) ----

Early Registration:  $145.00  X 

Regular Rate:          $155.00  X 


Camp T-Shirt:          $10.00  X   

# of Sizes:  Youth:  S    M   L   XL          Adult:  S   M   L   XL   2XL
*Camp t-shirts will also be available for purchase on-site for $12.00 each

                                                       TOTAL COST (All fees):


Select the SUBMIT FORM button to complete the processing of your payment.