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Day Camp Registration

Parent/Guardian Information

Parent/Guardian Name 1*

First

Last

Parent/Guardian Email 1*

Parent/Guardian Phone 1*

Area Code

-

Phone Number

Parent/Guardian Name 2*

First

Last

Parent/Guardian Phone 2*

Area Code

-

Phone Number

Day Camp Participants

6505-Please choose the number of children you wish to register ($40/ea): *

1

2

3

4

Child #1

Name - #1

First

Last

Gender #1

Female

Male

Choose Grade Completed #1

Choose T-shirt Size #1:

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Medical/Allergy Concerns #1

Child #2

Name - #2

First

Last

Gender #2

Female

Male

Choose Grade Completed #2

Choose T-shirt Size #2

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Medical/Allergy Concerns #2

Child #3

Name - #3

First

Last

Gender #3

Female

Male

Choose Grade Completed #3

Choose T-shirt Size #3

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Medical/Allergy Concerns #3

Child #4

Name - #4

First

Last

Gender #4

Female

Male

Choose Grade Completed #4

Choose T-shirt Size #4

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Medical/Allergy Concerns #4

Total

Easley Presbyterian Church

200 S. 1st Street
Easley, SC 29640
864.859.4220
connect@easleypresbyterian.org

Sunday Service Times

9am - Worship

10am - Sunday School

11am - Worship