Registration Form

Champs Camp 2008

Camper Name*:____________________________________________

Gender*: M  F        Age*:__________         T-Shirt size*:_________

Grade in Fall 2008*:____________________

Address:_________________________________________________

State:_____ Zip:__________ Phone:_______________________

Parent/Guardian Name____________________________________

Work phone:_________________  Cell:______________________

E-mail address*:_________________________________________

Do you have a church home? Y/N         If yes, Where?

________________________________________________________