<p> Junior Camp @ Family Camp June 23rd- 24th 2016 Ages 5 - 12</p><p>Early-registration fee: $30.00 Per child, Deadline June 11th 2016 Mail registration form and check to: Late registration fee: $40.00 per child Colorado District Junior Camp Unregistered Attendees $15 per child per service Rev. Afton Bradley Parents with more than one child a $5.00 discount after 1st sibling 4420 Beaumont Rd. Checks to: Colorado District Junior Camp Colorado Springs, Co. 80916</p><p>PLEASE PRINT</p><p>Name of Camper: ______Sex: M / F (Circle) Age: _____ Birth Date: ______Address: St/City/Zip ______</p><p>Camper Agreement: I agree to obey all the camp rules and regulations and respect all camp staff while enrolled at camp. I also agree to the items listed under notice to all campers.</p><p>Camper’s signature: ______</p><p>Parents Name:______Phone #______Cell______</p><p>Pastor’s name / Pastor’s phone # ______</p><p>Church name / Church phone # ______</p><p>Notice to all campers: The United Pentecostal Church does not approve of the following: jewelry, makeup, dresses with hems or slits above the knee, sleeveless or cap sleeves, fishnet shirts or blouses, shorts, or any clothing that immodestly exposes the body, Cross-dressing (pants on girls and dresses/skirts on boys).</p><p>Junior camp services will coincide with Family Camp services June 23rd,24th only.(No Wednesday Evening Service) For more information contact Bro. Bradley @ 719-390-4720 or e-mail [email protected]</p><p>Notice to parents: Children must be signed in and out of each service. </p><p>Please inform Junior camp staff of any medical conditions that we need to be aware of.</p><p>Camp office use only: Date Rec: ______Paid check # ______Approved: ______</p><p>Date enrolled: ______Date checked out: ______</p>
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