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Elijah Camp 2019 Pre-Registration Form

This form is for pre-registration only. Pre-Registration is available for $25 per child from March 3- April 1 to secure your child’s spot at camp. This amount will be deducted from your registration total upon full payment.

The full registration form will be available to complete final payment and input discounts on April 1st.

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Camp Dates: Overnight Camp: June 10-14 | Day Camp: June 10-13

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PARENT INFORMATION SECTION

Only the parent or legal guardian may register a child

CHILD INFORMATION SECTION

All children must be 6 years old by June 10th in order to attend camp.

If field is not applicable, write or select N/A

Child 1

Child 2 (or write N/A)

Child 3

Child 4

PAYMENT INFORMATION

CVV Code