Kids Camp 2023: Chosen Generation

Parent Information

Father's Full Name

*

Father's Phone Number

*

Mother's Full Name

*

Mother's Phone Number

*

Contact Email

*

This address will receive a confirmation email

Are parents members or regular visitors of House of God?

*

Yes No

Child's Information

Please fill out all information for each child you are registering.

Child #1

Child #1 First and Last Name

*

Date of Birth

*

Allergies

*

Medication

*

Is there anything else we should know about your child?

*

Child #2

Child #2 First and Last Name

Date of Birth

Allergies

Medication

Is there anything else we should know about your child?

Child #3

Child #3 First and Last Name

Date of Birth

Allergies

Medication

Is there anything else we should know about your child?

Child #4

Child #4 First and Last Name

Date of Birth

Allergies

Medication

Is there anything else we should know about your child?

Child #5

Child #5 First and Last Name

Date of Birth

Allergies

Medication

Is there anything else we should know about your child?

Child #6

Child #6 First and Last Name

Date of Birth

Allergies

Medication

Is there anything else we should know about your child?

Payment

Select the number of children you are registering for correct payment amount.

1st Child - $160
2 Children - $320
3 Children - $480
4 Children - $640
5 Children - $800
6 Children - $960

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

August 7th - August 11th

Kids Age: 7-12 years. Please fill out this form with all children you are registering for Kids Camp.

Please complete registration by May 31st. Space is limited! Registration prices increase after May 31st and close on June 30th - no exceptions.