Camp Kidstowne Registration


Camp Kids Towne is July 27-31 6:00pm-8:00pm Ages 3 years to 5th grade are welcome Friday the 31st is Family Night where we will have water games for everyone to enjoy.
Registration Form -- Please complete one form per child.
Name:
Address:
City, State, Zip:
Home Phone:
Email:
Date of Birth:
Grade entering in fall 09 or age:
In Case of Emergency Contact:
Contact Phone:
Mother's Name:
Father's Name:
Other Responsible Adult:
Allergies or medical conditions:
Home Church:
Enter the word to the right.