Passion Youth Engage Summer Camp 2018
 
Passion Youth Engage Summer Camp 2018
The online registration price of $336.87 is the base cost of $330.00 for one camper plus a $6.87 online convenience fee.
Camper's Name  * 
Camper's Age  * 
Camper's Gender  * 
Camper's T-shirt Size  * 
The $510.25 online registration price for two campers is the $500.00 base cost plus a $10.25 online convenience fee.
The $673.43 online registration price for three campers is the $660.00 base cost plus a $13.43 online convenience fee.
How many additional youth will be attending camp?
Please call the church at 985-543-6958 if you have more than 3 youth attending camp.
2nd Camper's Name
2nd Camper's Age
2nd Camper's Gender
2nd Camper's T-shirt Size
3rd Camper's Name
3rd Camper's Age
3rd Camper's Gender
3rd Camper's T-shirt Size
Parent's/Guardian's Name  * 
Street Adress  * 
City, State, Zip  * 
Phone Number  * 
Emergency Contact's Name  * 
Emergency Contact's Phone Number  * 
Please list any allergies, health or behavioral issues, medications, and special needs that would be of vital importance concerning the safety and well-being of your child.
Family Medical Insurance Carrier and Policy Number
Videos and photographs will be taken of your child throughout the week during camp. These will be used for publicity purposes only.
Does Eagle Heights Community Church have permission to use the videos and photographs taken during camp of your child/children for publicity purposes?  * 
By submitting my online registration form, I acknowledge that I have read and consent to the Eagle Heights Passion Youth Ministry waiver rules and release guidelines (located on the Passion Youth page).
Your Email Address  * 
Base Price $
Modifications $
Total $
 
 
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