Request edit access
Camp Discovery 2018
Event Timing: June 11-15, 8:30 am-12:30 pm
Event Address: Bedford Acres Christian Church, 5414 Lexington Rd., Paris, KY
Camp is for children ages 4- Rising 5th grade
Contact us at (859) 707-9437 or mcclureky2@gmail.com
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Parent/Guardian *
Your answer
Address *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade for upcoming school year *
T Shirt Size *
Your answer
What days will you attend? *
Required
Dietary restrictions *
Allergies/Medical Issues? *
Your answer
Emergency Name, Number, and Relationship *
Your answer
Who is authorized to pick up your child? *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
This form was created outside of your domain. Report Abuse - Terms of Service - Additional Terms