PLYMOUTH CONGREGATIONAL CHURCH, Minneapolis
Peace Camp 2013 Registration
Name:
Email Address:
Child's name
Age?
Date of birth?
Last school grade completed?
Parent or caregiver's address?
Home phone?
Cell phone?
In case of emergency, contact the following people. (List one or more names, their relationship to the child and the best phone number).
Allergies or other medical conditions?
Food restrictions?