Middle School Camp Session 1

WHO: Teens ages 10 - 12 or grades 5 - 7

WHEN: Thursday, July 13, at 3:00 pm, through Sunday, July 16, at 3:00 am,

PROGRAM FEE:$200 includes out trip Extras: Pop Shop $ (What ever amount you would like your child to have)

THEME:TBA 

More Information:

Session 1 Registration

*Required
*Registrant Name:
*Registrant Age:

*Registrant D.O.B.:
*Registrant Grade:

*Parent/Guardian Name:
*Address:

*City:
*State:

*Zip:
*Email:

*Phone:
*Church:

Pastor / Youth Leader:
Email:

Phone:
*Allergies:

Specify:
*Comments & Concerns:

Your registration is not complete until your payment is received and you receive an email confirmation from the Peniel Office.