Kids Camp 2021 Online Sign Up
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
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ND
NE
NH
NJ
NL
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NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Grade Completed. Child MUST BE going into 3rd- going into 6th grade.
*
Please select one option.
Going into 3rd
Going into 4th
Going into 5th
Going into 6th
Going into 7th
Select Option
Going into 3rd
Going into 4th
Going into 5th
Going into 6th
Going into 7th
T-Shirt (Included)
*
Please select one option.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
XLarge
XXLarge
XXXLarge
Select Option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
XLarge
XXLarge
XXXLarge
Did you download and fill out the medical form on the lmbc.church/summer-opprotunities website?
*
Please select one option.
Yes
Not yet
Is there any special instructions needed for the best care of your child?
Payment can be made at lmbc.church/giving. The cost is $85.
Submit
Description
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