Personal Information: Camper’s Name: Camp Details Select your camp(s) 8:30AM-2:00PM Dock Menn. Address: Ages 6-9 $160 City: Camp #1 June 25-29 Coed State: Zip: 8:30AM-2:00PM Dock Menn. Soccer Home Phone: Ages 10-13 $160 Camp #2 June 25-29 Coed Age: M F 8:30AM-10:30AM Dock Menn. Soccer Birthdate: Ages 4-5 $67 Grade Completed: Camp #3 June 25-29 Coed 8:30AM-12:00PM Lenape Valley Name of School: Kinder Soccer Grades 1-6 $85 Name of Church: Camp #4 June 25-29 Medical Conditions/Allergies: 8:30AM-10:30AM Dock Menn. Coed All-Sports Ages 4-5 $67 Camp #5 July 9-13 (attach sheet if more space is needed) Coed Kinder Guardian: 8:30AM-2:00PM Dock Menn. All-Sports Ages 6-9 $160 Camp #6 July 9-13 Coed All-Sports Work Phone: 8:30AM-2:00PM Dock Menn. Cell Phone: Camp #7 July 9-13 Coed All-Sports Ages 10-13 $160 Email: Emergency Contact: Camp #8 July 23-27 8:30AM-2:00PM Bethany BFC Boys’ Basketball Ages 8-13 $155 Phone: Camp #9 July 23-27 8:30AM-12:00PM Covenant Coed Grades 1-6 $85 T-Shirt Size: Youth: S Camp #10 July 30-Aug. 3 8:30AM-12:00PM Covenant M L Adult: S Coed All-Sports Grades 1-6 $85 M L XL Camp #11 July 30-Aug. 3 8:30AM-3:00PM GraceWay How did you hear about us? Coed Basketball Ages 9-16 $155 Camp #12 Aug. 6-10 Coed 8:30AM-12:00PM New Life BFC Ages 8-14 $85 Camp #13 Aug. 13-17 8:30AM-2:30PM ReaLife Coed Ages 6-13 $70 Payment Check, Cash, or Money Order enclosed for the amount of: Check this box if turning in payment with this form:
Select your camp(s) Camp #1 June 25-29 Coed Soccer Camp #2 June 25-29 Coed Soccer Camp #3 June 25-29 Coed Kinder Soccer Camp #4 June 25-29 Coed All-Sports Camp #5 July 9-13 Coed Kinder All-Sports Camp #6 July 9-13 Coed All-Sports Camp #7 July 9-13 Coed All-Sports Camp #8 July 23-27 Boys’ Basketball Camp #9 July 23-27 Coed Camp #10 July 30-Aug. 3 Coed All-Sports Camp #11 July 30-Aug. 3 Coed Basketball Camp #12 Aug. 6-10 Coed Camp #13 Aug. 13-17 Coed Camp Details 8:30AM-2:00PM Dock Menn. Ages 6-9 $160 8:30AM-2:00PM Dock Menn. Ages 10-13 $160 8:30AM-10:30AM Dock Menn. Ages 4-5 $67 8:30AM-12:00PM Lenape Valley Grades 1-6 $85 8:30AM-10:30AM Dock Menn. Ages 4-5 $67 8:30AM-2:00PM Dock Menn. Ages 6-9 $160 8:30AM-2:00PM Dock Menn. Ages 10-13 $160 8:30AM-2:00PM Bethany BFC Ages 8-13 $155 8:30AM-12:00PM Covenant Grades 1-6 $85 8:30AM-12:00PM Covenant Grades 1-6 $85 8:30AM-3:00PM GraceWay Ages 9-16 $155 8:30AM-12:00PM New Life BFC Ages 8-14 $85 8:30AM-2:30PM ReaLife Ages 6-13 $70 Personal Information: Camper’s Name: Address: City: State: Zip: Home Phone: Age: M F Birthdate: Grade Completed: Name of School: Name of Church: Medical Conditions/Allergies: (attach sheet if more space is needed) Guardian: Work Phone: Cell Phone: Email: Emergency Contact: Phone: T-Shirt Size: Youth: S M L Adult: S M L XL How did you hear about us? Payment Check, Cash, or Money Order enclosed for the amount of: Check this box if turning in payment with this form:
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