Junior Camp Registration

Junior Camp Registration

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 *

Grade Completed *

T-Shirt Size *

Home Church *

Parent/Guardian Name(s) *

Emergency Contact Person *

Emergency Contact Person's Phone *

Medical / Personal Notes

Pay *

Online Now

Cash Later

Click HERE to open a separate online payment page.
You must click the "Submit" button on this page in order to complete your registration.

Having read the Clay-Doh Junior Camp Brochure, I agree to allow my child to attend. I relinquish New Life Church, Abba's Haven, volunteer workers and anyone associated therein of any liability described within the brochure. *

Quick Links