Middle school

mission camp registration

July 15-19

Middle Schooler's Name *
Middle Schooler's Name
Date of Birth *
Date of Birth
Phone *
Phone
Parent's Name *
Parent's Name
Parent's Phone Number *
Parent's Phone Number
Have you paid your deposit? *
Total cost is $250. A deposit of $100 must be paid online (click button at the top of the page) before completing this registration form.