LifeSpring Church Camp Registration
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Name
*
Email
*
This address will receive a confirmation email
Phone
*
Attendees
Attendee (1):
*
Attendee (1) age and grade (if < 18):
Attendee (2):
Attendee (2) age and grade (if < 18):
Attendee (3):
Attendee (3) age and grade (if < 18):
Attendee (4):
Attendee (4) age and grade (if < 18):
Attendee (5):
Attendee (5) age and grade (if < 18):
If more than 5 attendees, please fill out another form
Special Needs
Does anyone attending have any special dietary or medical needs? Explain: (Several attendees are registered nurses)
Please provide unisex shirt sizes for all people attending for free camp shirt.
*
Pay by;
Check
made out to LifeSpring Church (put CAMP in memo)
or
Text
amount to secure number
937-400-1122
or by
ACH
Transfer at
https://lifespringdayton.org/giving
Money is due 1 month before camp starts. (August 1st deadline)
Submit
Description
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