Kid’s Camp Registration

On May 5, 2022

If you are human, leave this field blank.

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

(xxx) xxx-xxxx

Email *

(To receive confirmation of registration.)

Gender *

Date of Birth (XX/XX/XXXX) *

Grade Completed *

T-Shirt Size *

Home Church *

Parent/Guardian Name(s) *

Emergency Contact Person *

Emergency Contact Person's Phone *

I agree to allow my child to attend Kid's Camp 2022. I relinquish New Life Church, Word of Life, Life Source Church, ABBA’S Haven, volunteer workers and anyone associated therein of any liability. In case of an emergency, I give permission for my child to be taken to a hospital, or any other emergency facility, and give permission for a medical doctor or hospital to administer any treatment they deem necessary; I will assume full financial responsibility. I do this in faith that all parties involved will give close supervision during all activities and use wisdom with any decisions they will have to make. *

Medical / Personal Notes

Pay *

$150 Online Now

$150 Cash Later

You must click the "Submit" button on this page in order to complete your registration. Check your SPAM folder if you do not receive an email notification.

Kid’s Camp Registration

Quick Links