Camp Exemplar Registration

This form is to register your child or children for Camp Exemplar for the whole summer.

If you have any questions, please email Kristin Morris at: kristin.morris@towncreekbaptist.net

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

1st Child's Name

*

1st Child's Age

*

1st Child's Grade Completed

1st Child's School Name

1st Child's T-Shirt Size

*

Please select one option.

YXS YS YM YL YXL S M L XL

(Optional) 2nd & 3rd Children

2nd Child's Name

2nd Child's Age

2nd Child's Grade Completed

2nd Child's School Name

2nd Child's T-Shirt Size

Please select one option.

YXS YS YM YL YXL S M L XL

3rd Child's Name

3rd Child's Age

3rd Child's Grade Completed

3rd Child's School Name

3rd Child's T-Shirt Size

Please select one option.

YXS YS YM YL YXL S M L XL

Weeks Of Camp

Let us know which weeks your children will attend Camp Exdmplar!
PLEASE NOTE: Selecting your preferred weeks does NOT guarantee a spot until tuition is paid via the Tuition Form.

Select Week(s) for Child 1

*

Please select all that apply.

Week 1: Water Week (June 9-13) Week 2: Sports & Missions (June 16-20) Week 3: In the Kitchen (June 23-27) Week 4: Stars & Stripes (June 30 - July 3) Week 5: Art Week (July 7-11) Week 6: Color Wars (July 14-18) Week 7: Christmas in July (July 21-25) Week 8: Space (July 28 -Aug 1) Week 9: Water Week 2 (Aug 4-8) Week 10: Great Outdoors (Aug 11-15)

Select Week(s) for Child 2

Please select all that apply.

Week 1: Water Week (June 9-13) Week 2: Sports & Missions (June 16-20) Week 3: In the Kitchen (June 23-27) Week 4: Stars & Stripes (June 30 - July 3) Week 5: Art Week (July 7-11) Week 6: Color Wars (July 14-18) Week 7: Christmas in July (July 21-25) Week 8: Space (July 28 -Aug 1) Week 9: Water Week 2 (Aug 4-8) Week 10: Great Outdoors (Aug 11-15)

Select Week(s) for Child 3

Please select all that apply.

Week 1: Water Week (June 9-13) Week 2: Sports & Missions (June 16-20) Week 3: In the Kitchen (June 23-27) Week 4: Stars & Stripes (June 30 - July 3) Week 5: Art Week (July 7-11) Week 6: Color Wars (July 14-18) Week 7: Christmas in July (July 21-25) Week 8: Space (July 28 -Aug 1) Week 9: Water Week 2 (Aug 4-8) Week 10: Great Outdoors (Aug 11-15)

Payment Information

# of Children Registered

1 Child ($115) 2 Children ($180) 3+ Children ($190)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

This form is to register your child or children for Camp Exemplar for the whole summer.

If you have any questions, please email Kristin Morris at: kristin.morris@towncreekbaptist.net

Please Fix the Following

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