Community Life Church - Winter Weekend21

Youth Winter Weekend Registration

Youth First Name

Last Name

Grade

Address 1

Address 2

Country

City

State

Zip/Postal Code

Youth Email

Youth Phone Number

Parent/Guardian First Name

Last Name

Email Address

Phone Number

Please indicate any dietary restrictions, allergies, and/or medications taken below.

Camper Declaration: I WILL FULLY COOPERATE WITH ALL INSTRUCTIONS GIVEN BY ANY CAMP LEADER DURING THIS EVENT.
Yes
No

Easily pay the registration fee below! Cost per youth is $15. Choose the option Youth/Kids Ministry.