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Mustard Seed Spirit Camp Registration
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* Indicates required question
Last Name
*
Your answer
Parent's Names
*
Your answer
Address
*
Your answer
Home Phone
*
Your answer
Email Address
*
Your answer
Other Contact Numbers (Cell/Work phone?)
*
Your answer
Child 1 (Name, Age, Grade Entering, T-shirt Size [child or adult, S-XL] )
*
Your answer
Child 2 (Name, Age, Grade Entering, T-shirt Size [child or adult, S-XL] )
Your answer
Child 3 (Name, Age, Grade Entering, T-shirt Size [child or adult, S-XL] )
Your answer
Child 4 (Name, Age, Grade Entering, T-shirt Size [child or adult, S-XL] )
Your answer
Child 5 (Name, Age, Grade Entering, T-shirt Size [child or adult, S-XL] )
Your answer
Emergency Contact 1 (Name, Cell Phone, relation to child)
*
Your answer
Emergency Contact 2 (Name, Cell Phone, relation to child)
*
Your answer
Health or Food Allergies or concerns?
*
None
Asthma
Bee Allergy
Gluten Allergy
Nut Allergy
Soy Allergy
Other:
Required
How did you hear about the camp?
*
Peterborough United Methodist Church Member or Lawn Sign
All Saints Episcopal Church Member or Lawn Sign
Union Congregational Church Member or Lawn Sign
Hung up Poster
Other:
Please join us for participant t-shirt decorating and a Meet-and-greet on Thursday July 7 from 6:30-8:30
*
Yes we will attend
Sorry, we can not attend
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