Leadership Camp Registration
Riverside United Church

Monday, July 16 - Friday, July 20, 2018

Youth Leader Information

calendar
Select camp: *

Additional Participant Information

Additional participant information (must be in same household)
calendar
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). *

Payment

Current Total:
$0.00
Upon submission of your registration, online payment
options will be available via PayPal (no account needed).