Pre-Teen Camp Information Request

Parent / Guardian's Info

Name

This address will receive a confirmation email

Phone

Physical Address

Mailing Address, if different than physical

Student's Info

Please provide your student's information.

Student's Name

Student's Phone Number

Date of Birth

Name of School you are attending

What grade?

Description

Saturday, June 15th thru Tuesday, June 18th

Please fill out this form and click submit. You will receive an email with instructions on how to register your student for Youth Camp.