Registration - Camp Be R.E.A.L.

Child's Name: *
Child's Name:
Child's Date of Birth: *
Child's Date of Birth:
Child's Sex: *
Parent/Guardian's Name: *
Parent/Guardian's Name:
Parent/Guardian's Phone: *
Parent/Guardian's Phone:
Parent/Guardian's Address *
Parent/Guardian's Address
Please list all allergies of child. If none, write "none".
*
Select week you would like to attend. You may register for 1 or both weeks. Camp format is the same each week but Bible stories are different.