Mid-County Church - Creation Camp

Creation camp

Register here. This form contains space for 4 children. Make sure you scroll all the way to the bottom and click "SUBMIT."

Parent/Guardian

(The main person who will be dropping off and picking up)

First Name

Last Name

Your Relationship to the child/children (mother, step-mother, grandparent, etc.)

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Please list any other adults who are authorized to pick up the child/children at the end of the day.

Child 1

First Name

Last Name

Birthdate

Grade

Please choose the grade they have completed, NOT the grade they will be going into this Fall.

Allergies

Keep scrolling. "Submit" button at bottom.

Child 2

First Name

Last Name

Birthdate

Grade

Please choose the grade they have completed, NOT the grade they will be going into this Fall.

Allergies

Keep scrolling. Submit button at bottom.

Child 3

First Name

Last Name

Birthdate

Grade

Please choose the grade they have completed, NOT the grade they will be going into this Fall.

Allergies

Keep scrolling. "Submit" button at bottom.

Child 4

First Name

Last Name

Birthdate

Grade

Please choose the grade they have completed, NOT the grade they will be going into this Fall.

Allergies

< Back

Next >

Submit

Creation camp

Parent/Guardian

Child 1

Child 2

Child 3

Child 4

We'd love for you to join us!

Follow Us