Capernaum Summer Camp Registration 2019
Join us for the best week at Southwind Young Life Camp!
July 2nd-6th, 2019

The total cost of $545 covers transportation, delicious food, amazing lodging, adventure activities and so much more! You can save your seat on the bus with a deposit of $150!
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Camper Name (first & last) *
Gender *
Camper's Age *
Street Address *
Parent(s) Full Name(s) *
Parent Phone # *
Parent Email *
Camper Phone #
Camper Email
Where do they attend school? (if applicable)
Tshirt Size *
Thank You!
Please click the link below to make a trip payment!
https://jacksonville.younglife.org/Pages/Capernaumsummercamp.aspx

Direct any questions to Jim O'Hearn (309)912-8626
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