Camp New Faith Registration Form

Thank you for your interest. Camp will start May 26th - July 26

7:00AM-6:15PM Monday-Friday for ages 5-12

Please complete this registration form.

 There is a $35 Registration Fee per child and weekly tuititon of $100.00.

Your card will not be charged until we contact you with a predetermined date.  

Camper 1 Name *
Camper 1 Name
Camper 1 DOB *
Camper 1 DOB
Address *
Address
Camper 2 Name
Camper 2 Name
Camper 2 DOB
Camper 2 DOB
Address (If Different)
Address (If Different)
Parental Guardian 1 Name *
Parental Guardian 1 Name
Address (If Different)
Address (If Different)
Cell
Cell
Work
Work
Parental Guardian 2 Name
Parental Guardian 2 Name
Address (If Different)
Address (If Different)
Cell
Cell
Work
Work
Emergency Contact Name
Emergency Contact Name
Phone *
Phone
Payment Information
Name that appears on the card *
Name that appears on the card
Billing Address *
Billing Address
Checkbox