Karl Road Baptist Church

Growing Godly Generations

Day Camp Registration
  1. Please complete one form per child.
  2. Click here if you choose to download application instead
  3. Name of Child:(*)
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  4. Grade Just Completed:(*)
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  5. Birth Date:(*)
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  6. Street Address:(*)
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  7. City:(*)
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  8. State:(*)
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  9. Zip Code:(*)
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  10. Home Phone:(*)
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  11. Cell Phone:
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  12. Email:(*)
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  13. Parents Name:(*)
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  14. Work Phone:
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  15. Emergency Contact:(*)
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  16. Phone Number:(*)
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  17. Alergies or other Medical conditions:
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  18. Name of Home Church:
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  19. Name of Siblings attending and grade completed:
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  20. Name of person who will drop-off and pick up your child:(*)
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  21. Phone Number:(*)
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  22. Please type the letters below.
    Please type the letters below.
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