Leadership Camp Registration
Riverside United Church

Monday, July 22 - Friday, July 26, 2019
Grade 7&8

Youth Leader Information

Select camp: *

Additional Participant Information

Additional participant information (must be in same household)
Select camp:

Household / Adult Primary Contact

Relationship to Participant: *

Camper Health Information

I give permission for photographs to be taken and used for promotional
purposes and social media postings (e.g. Facebook, Instagram). *


Current Total:
Upon submission of your registration, online payment
options will be available via PayPal (no account needed).
Powered byFormsiteReport abuse