Summer Ranch Camp 2024

Camper Information

Child's Name

Date of Birth mm/dd/yy

Grade Entering Fall 2024

Shirt Size

Kids Small Kids Medium Kids Large Adult Small Adult Medium Adult Large

Parent Information

Parent Name

This address will receive a confirmation email

Cell Phone

Address

Emergency Contact

Emergency Contact Phone

Photo Release

Do we have permission to use photos taken at event for church use and future advertisements?

Allergies

Payment $50.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 10-13, 2024 8:00am - 3:30pm

Please fill out this form and click submit. More information will be sent out the week prior to camp.