Kids Camp 2026: A Heart After God

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 - $185
2 Children - $370
3 Children - $555
4 Children - $740
5 Children - $925
6 Children - $1,110

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

August 3rd - August 7th

Kids Age: 7–12 years

Please fill out this form for all children you are registering for Kids Camp.

Registration Deadline: May 31st – space is limited!

Non-Member Price: $200 per child. You will be asked to pay the difference on the first day of camp if applicable.