Jr/Sr CAMP SIGNUP

Solsberry Christian Church

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JR/SR HIGH CAMP SIGN UP

Please fill out this form even if you have already filled out a form through CIY!

Participant Info

* Indicates required field

Participant First Name *

Participant Last Name *

Participant Phone Number *

Email for Followup Information *

Camper Gender *

Male Female

Participant Date of Birth (mm/dd/yyyy) *

Participant Grade for 2020/2021 School Year *

5th 6th 7th 8th 9th 10th 11th 12th Graduated Senior College Adult Volunteer

Participant Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Info

Parent/Guardian First & Last Name *

Phone Number *

Medical Information

Health Insurance Company *

Please list ALL medications your students takes regularly: *

Policy Number *

Please list ALL allergies food and otherwise of your student: *

Emergency Contact Information

Emergency Contact Name *

Phone Number *

Emergency Contact Name *

Phone Number *

Submit

Solsberry Christian Church
Location: 10825 E Christian Church Road, Solsberry, IN 47459
Phone Number: 812-825-5222
Email: solsberrycc@gmail.com

Service Times:
Sunday Morning - 9:30a
Sunday School (adult & youth) - 11a
Jr/Sr High Youth Group - 5p

Click below to find us on social media:

Home
I'm New Here
SERMONS
Events
- Calendar
- Building Use Form
Ministries
Contact