Moon C.A.M.P.


Next Date July 9th

6-10pm

Children 4-years-old to 5th grade

$10 for one child, $20 for two, maximum is $25 for a family

Dinner provided.

Children must be registered by July 7th

 

 

Please fill out form below to enroll your child.

Child Info
      
Child's Name    
Date Of Birth    
Grade/Age    
Male (M) or Female(F)    
Adult Info
      
Parent's Name    
City    
State    
Zip Code    
Home Phone    
Mom's Cell Phone    
Dad's Cell Phone    
Email Address    
Special Instructions Including Medical Needs