Cedar Glade Youth Camp Registration 2024

Grades 7th - 12th June 17th - 21st COST $135

Please fill out the form in all the applicable areas. Many areas are required fields. Your registration will not be complete until each required field has been filled in. Each participant must fill out the form separately. If you have two participants, you must register them separately.

YOUTH

Church

Parent/ Guardian Name

First Name

Last Name

Parent/ Guardian Phone

(###)

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Student Name

First Name

Last Name

Gender

Age

Birthday

YYYY

Grade Completed

Shirt Size