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Senior High Summer Camp Wait List 2015
Camp registration is full. Please complete this form if you would like to be on our waiting list.
Questions? Contact Kelli Stabile at 636.779.2142 or kstabile@efree.org
Student's Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Primary/Home Phone
*
###
-
###
-
####
Gender
*
male
female
School student will attend in 2015-16 school year:
*
Student's grade for the 2015-16 school year:
*
9th
10th
11th
12th
current grad
Does this student regularly attend First Free Student Ministry Programs?
*
Yes
No
Roommate Request
We will do our best to place you with at least one of your roommate requests.
1st Roommate Choice
2nd Roommate Choice
3rd Roommate Choice
Please select camp t-shirt size (you may receive an alternate size)
Small
Medium
Large
X-Large
Parent/Guardian Full Name
*
Parent/Guardian Emergency Number
*
###
-
###
-
####
Email
*
We will communicate any last minute camp info through parents' emails. Please include your email address.
PLEASE NOTE: This sign up puts your student on the waiting list. You will be contacted if space becomes available.
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