campFBC

Kindergarten & 1st grade must be accompanied by an adult.
The church will pay for members & regular attenders of student activities. Cost for others: $150

STUDENT'S NAME

*

BIRTHDATE

*

PARENT'S NAME

*

EMAIL

*

This address will receive a confirmation email

CELL PHONE

*

GRADE GOING INTO IN THE FALL

*

Please select one option.

1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College

T-SHIRT SIZE

*

Please select one option.

Youth - S Youth - M Youth L S M L XL 2XL 3XL

PAYMENT

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Kindergarten & 1st grade must be accompanied by an adult.
The church will pay for members & regular attenders of student activities. Cost for others: $150

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