Camp McCall Registration 2023

Our Camp McCall trip is scheduled for Friday, June 2-Sunday, June 4. To register dads and boys who are CURRENTLY IN 1st, 2nd, 3rd or 4th grade, please complete this form. Space is provided to register more than one child. If you do not need the addition space, please skip that section.

Name of Child 1: Name of Child 1: First Last
Child's Birthday:
Grade your child is CURRENTLY in:

Grade your child is CURRENTLY in: First Grade Second Grade Third Grade Fourth Grade
Name of Child 2: If you are NOT registering a second child, please skip to the next question. Name of Child 2: If you are NOT registering a second child, please skip to the next question. First Last
Child 2 Birthday? Skip if you are not registering a second child.
Child 2: Grade your child is CURRENTLY in? If you are not registering a second child, please skip to the next question.

Child 2: Grade your child is CURRENTLY in? If you are not registering a second child, please skip to the next question. First Grade Second Grade Third Grade Fourth Grade
Dad/Adult male loved one who will be attending camp: Dad/Adult male loved one who will be attending camp: First Last
Adult's Birthday
HOME Phone HOME Phone - ### - ### ####
MOM'S CELL Phone: MOM'S CELL Phone: - ### - ### ####
MOM'S WORK Phone: MOM'S WORK Phone: - ### - ### ####
In the event of an emergency, please list the name and number of another contact other than mom:
Mom's Email:
Dad/Male Loved one email:
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Allergies or health concerns for your CHILD. If none, please answer NONE KNOWN. Please do this for EACH child attending.
EXAMPLE:
Johnny- Peanuts, Bee Stings and Asthma
Billy- NONE KNOWN
Allergies or health concerns for ADULT MALE. If none, please answer NONE KNOWN:
Adult males are REQUIRED to complete a background check provided by Camp McCall. I understand this and I am willing to complete the form. I understand that if I fail to complete the form in a timely fashion, I will not be allowed to attend:

Adult males are REQUIRED to complete a background check provided by Camp McCall. I understand this and I am willing to complete the form. I understand that if I fail to complete the form in a timely fashion, I will not be allowed to attend: Yes, I understand and will complete the form provided by Camp McCall No, I do not understand or will not complete the form
Payments:

Payments: I plan to pay online. I plan to use the payment envelopes to put in the offering box or drop off at the office. Mrs. Michelle will not be collecting money. Scholarship needed.
I understand that when reservations are made January 30, the church has fully paid the fee. It is my responsibility to pay the church back at each scheduled payment.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
I understand that if I change my mind or cancel for any reason other than a medical situation, I am still responsible for paying the church back for the full amount of the reservation.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.