2017 Mega Summer Camp Registration

June 12th-16th, 2017 - $15.00 per child.

***To guarantee a T-Shirt, registration and money are due by May 21st.

Child's Name

Date of Birth

Address (City, State, Zip)

Age:

Last School Grade Completed

Gender

Male

Female

T-Shirt Size (Please select one) *Shirts may not be available in specified sizes for walk-on athletes.

Acitivity Choice: Students completing 1st-5th grade only, please pick your 1st and 2nd choices. There are limited spots in each activity. If your 1st choice is full, your child will be placed in your 2nd choice.

1st Activity Choice

2nd Activity Choice

***Children 4 years old to having completed Kindergarten will be participating as Junior Campers and will be in a more traditional VBS setting.***

Parent/Guardian(s) Name

Emergency Contact #1: Name and Phone Number

Emergency Contact #2: Name and Phone Number

Address (If different from child's)

How did you hear about Mega Summer Camp? (Word of mouth, mailer, etc.)

Questions or special concerns (Allergies, Medications, Medical Conditions, etc.)?

***Please note that by registering online, a signature from the child's parent/guardian will be required before the child can participate.

Please remember to complete your child's registration by going to Christianchapel.com/Give and paying $15.00 per child. Thank you!

Success! This form has been submitted. Thank you for registering your child for Christian Chapel's Mega Summer Camp, 2017!