Counselors | Christadelphian Kids Camp California

Counselor 1's Information:

Counselor 1 Name *

First

Last

Counselor 1 Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Counselor 1 Home/Cell Phone *

Counselor 1 Email *

Counselor 1's Ecclesia *

Counselor 1 T-Shirt Size *

Counselor 1 plays the piano and would be willing to play a couple hymns *

Counselor 2's Information (If Applicable):

Counselor 2 Name

First

Last

Address is same as above

Counselor 2 Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Counselor 2 Home/Cell Phone

Counselor 2 Email

Counselor 2's Ecclesia

Counselor 2 T-Shirt Size

Counselor 2 plays the piano and would be willing to play a couple hymns

How many children under age 9 will be attending camp with you? *

Child 1

Child 1's Name *

First

Last

Child 1's Gender *

Child 1's T-Shirt Size (Youth) *

Child 1's Birthdate *

Child 1's Age at Camp *

Child 2

Child 2's Name *

First

Last

Child 2's Gender *

Child 2's T-Shirt Size (Youth) *

Child 2's Birthdate *

Child 2's Age at Camp *

Child 3

Child 3's Name *

First

Last

Child 3's Gender *

Child 3's T-Shirt Size (Youth) *

Child 3's Birthdate *

Child 3's Age at Camp *

Child 4

Child 4's Name *

First

Last

Child 4's Gender *

Child 4's T-Shirt Size (Youth) *

Child 4's Birthdate *

Child 4's Age at Camp *