AD 30 Kids Camp Sign up - Northbrook Church

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AD30: Life in the Holy Land

This interactive experience is for kids ages 3 through 6th grade on June 20-24, 2022, at Northbrook Church in Three Way. There is no charge for camp, but donations are welcome.

Child's Name *

First

Last

Date of Birth *

Age/Grade Completed *

Gender

Male
Female

Allergies

Emergency Contact Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Parent/Guardian *

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Last

Phone *

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

More information

I would like to know more about Northbrook Church.
I would like to make a donation toward camp expenses.

Consent *

Northbrook Church has my permission to photograph or video my child for advertising purposes. I release Northbrook Church in Humboldt, TN and all members from any and all claims arising out of any damage or injury while participating in church sponsored events.

Questions or Comments

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Emergency Contact Information

ADDRESS

Let us pray for you.

Sundays @ 10:30 am

731-824-1993