Memorial Kid Camps 2023
Please fill out this form and click submit.
Email
*
This address will receive a confirmation email
Name of Child Attending
*
What camp would they like to attend?
*
Please select one option.
Art Camp
Sports Camp
Child's birthdate
*
Age & Grade (grade they are going into)
*
Please select one option.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Address (Street, city, state, zip)
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
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NE
NH
NJ
NL
NM
NS
NT
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NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parents Name
*
Phone Number
*
In case of emergency, contact
*
Emergency Contact number
*
Medical conditions
*
Food allergies or dietary restrictions
*
Name of your church (if applicable)
May we have permission to photograph your child?
*
Please select one option.
Yes
No
May we have permission to use your child's photograph in church publications for the purpose of promotion?
*
Please select one option.
Yes
No
How did you hear about Memorial Kid Camps?
*
Please select one option.
Facebook Ad
Promo Video
Church Signs
Postcard Invitation
Personal Invitation
Church Member
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