2016 Camp Registration | Christian Reformed Church of Kingston

Full Name *

Phone Number

Who Are You Registering? *

Just Me

Include My Spouse (no children)

Include My Spouse and Children

Include My Children

Spouse's Name *

Children

1. Child's Name *

Date of Birth

Day

Month

Year

Enter Year in empty text box

2. Child's Name

Date of Birth

Day

Month

Year

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Add more Children

3. Child's Name *

Date of Birth

Day

Month

Year

Enter Year in empty text box

4. Child's Name *

Date of Birth

Day

Month

Year

Enter Year in empty text box

5. Child's Name *

Date of Birth

Day

Month

Year

6. Child's Name *

Date of Birth

Day

Month

Year

Enter Year in empty text box

7. Child's Name *

Date of Birth

Day

Month

Year

Enter Year in empty text box

8. Child's Name *

Date of Birth

Day

Month

Year

Enter Year in empty text box

Allergy Information *

Please write 'None' if you do not have any allergies.

Additional Comments

Any additional notes that you would like to pass onto the organisers.

Registration Type *

Day Visitor Comments *

Let the organisers know when you'll be at Camp

Payment Method *