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Kids Camp Registration 2022
Churchill Baptist Church ~ San Antonio, TX
June 20 - June 23, 2022 (Deadline to register is June 12!)
Camp will be held at Churchill Baptist
Cost: $175 per camper
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* Indicates required question
Camper's First & Last Name
*
Your answer
Gender
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Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
T-Shirt Size
*
YS
YM
YL
AS
AM
AL
AXL
Address (please list apartment number if applicable)
*
Your answer
Zip Code
*
Your answer
Parent / Guardian Name
*
Your answer
Parent / Guardian Cell Phone Number
*
Your answer
Alternate Phone Number
Your answer
Parent / Guardian Email
*
Your answer
Does the camper require a scholarship in order to attend?
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Yes
No
Would they require a full or partial scholarship?
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Full
Partial
If a scholarship is needed, how much can you pay?
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