Keen Kamp Registration: Check

KEEN KAMP REGISTRATION – Pay by Check or Call

Please register your attendance for Keen Kamp and complete payment by check or calling the office with your card payment.

Step 1 of 2

Please complete the following information

Name(Required)

List the name of the person completing this form. Add any additional registrants below.

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Emergency Contact(Required)

Name

Phone Number

Home Church

List Names of Registrants

Please type names as you would them printed on name tags

First Name

Last Name