Camp Application

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Camp Application
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Order Form

Home
About us
Camp Application
Contact us
Order Form

Camp Application

Contact Us

Which Camp do you Desire

Skills Camp

Music Camp

Parents/ Guardian Name

Parent/Guardian Address

Parent/Guardian Contact Phone

Child's Name

Child's age and date of birth

Child's grade as of spring 2024

Two emergency contact name and Phone number

List all Medications

Latex Allergy

Yes

Disabilities

Yes

Hearing Loss

Yes

Visually Impaired

Yes

Wheelchair

Yes

Learning Disability

Yes

ADHD

Tee Shirt Size

Youth size Small

Youth size Medium

Youth size Large

Adult size Small

Adult size Medium

Adult size Large

Adult size Extra Large

Does child consume dairy such as milk, eggs, cheese, ice cream?

Yes

Additional Helpful Information

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Full Name

Email Address

Phone Number

Your Message

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Home
About us
Camp Application
Contact us
Order Form

Bobby Peter Ministries Director, Kim Quinnie

Email bobbypeterkids@gmail.com

205-517-0947

Academic Tutoring Services, LLC is a proud sponsor of

Bobby Peter Ministries

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