Upcoming Events : Day camp pre-registration form

Day Camp Pre-registration

Complete the form below and click the button at the bottom to pre-register for day camp.

Fields marked with * are required.

If you do not feel comfortable sending this information this way, you may contact Pastor Borgwardt by email or by phone at 262-547-9920.

Day Camp 2008 Pre-registration Form *Full name of child #1: *Grade in 08-09 child #1: *T-shirt size of child #1: Child small Child medium Child large Adult small Adult medium Adult large Adult XL Full name of child #2: Grade in 08-09 child #2: T-shirt size of child #2: Child small Child medium Child large Adult small Adult medium Adult large Adult XL Full name of child #3: Grade in 08-09 child #3: T-shirt size of child #3: Child small Child medium Child large Adult small Adult medium Adult large Adult XL *Full name of parent(s): *Address: *City: *State: *Zip: *Home Ph. xxx-xxx-xxxx: *Emergency contact: *Emergency phone: Allergies or other medical conditions: Current church home:

If you need to register more than three children from the same family, click the 'Send to Living Word' button now, then come back to this page and complete the form again with new information as needed.

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This page was updated May 12, 2008