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Student Ministry Camp 2020 for 6th-12th grade Students on Monday, July 20, 2020 @ 8:00 AM

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This form cannot be saved and accessed later.  Please be aware we will be requesting roommate information for your student.  You will need to know the name(s) of the roommates being requested.  Online registration for your student will not be complete until the $50 refundable deposit is paid via credit card.
*Student's Date of Birth:
*Student's Gender:
*Grade Completed June 2020:
*Parent(s) Name:
*Parent(s) Cell:
*Parent(s) email:
Roommate Choice (in same grade and not a guarantee):
1st Choice:
2nd Choice:
**ATTENTION: If you wanted to pay the Deposit ONLY and the Registration Total below does not reflect the $50 deposit amount, please DO NOT select Complete. Go to the top of this form and change the Price by selecting the Drop-down option. :
*Campus Your Student Attends: