Please complete the following form to register your child for ABC Camp (Mission Possible) in Eunice, LA from June 16-19, 2008.
Camper's Name:
Parent's Names:
Mom's Cell Number:
Dad's Cell Number:
Address, City, State, Zip:
Day Phone:
Evening Phone:
Last Grade Completed (May 2008):
School Attended:
Home Church:
Names of Possible Bunkmates (2):
List of any Medications:
Allergies, Special Needs or Special Instructions:
Emergency Contact:
Relation to Child:
Emergency Contact Number:
Shirt Size: