KIDZ Worship Camp  Aug. 3 -7  (1st  thru 5th grade completed)
 (Cost $10, due on first day)

Parent’s Name(s)

 Address

Contact Phone #

Allergy/Health Conditions (If multiple children are listed, please specify name with condition)
This space may also be used to ask questions--(We will call you back)

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    Child’s Name                Age         Grade (Completed)  (1st-5th grade only)    
1.           (3 yrs- K section is FULL)

2.         

3.         

4.         

5.         
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