$50 nonrefundable deposit when registering, full amount due the first day of camp

$175 Early Registration

After May 31st- $205

Click for Camper Infomation

Camper's First Name

Camper's Last Name

Gender

Male

Female

Age

Grade this Fall

Street Address

City

State

Zip Code

Want to room with...

Church

Parent/Guardian Name(s)

Phone

2nd Parent/Guardian Phone

Please make sure your email/phone are correct as this is how we will contact you before/during camp.

Emergency Contact (non-parent/guardian)

Emergency Contact Phone

Relationship to Camper

Please list any camper allergies, medication, or medical conditions we need to be aware of below.

All medications will be collected at registration and kept in the camp medical room.

I give my camper permission to participate in the following extra activities:

Blob

Archery

BB guns

By checking this box and typing my name, I acknowledge this as my electronic signature of consent to activities and permission for camp staff to treat medical issues if they arise for my camper. Midland Ministries is not liable for sickness, injury, or theft of property/money during their time at camp.

Short answer

Click Here to Download Printable Registration

Super C Kids Registration
June 16-19
4-6th Grade

Super C Kids Registration
June 16-19
4-6th Grade

CONTACT

You can also contact us by using this form:

JOIN THE MAILING LIST

Super C Kids Registration June 16-19 *4-6th Grade*

CONTACT

You can also contact us by using this form:

JOIN THE MAILING LIST

Super C Kids Registration
June 16-19
4-6th Grade