SIGN UP HERE FOR AD30AD30: Life in the Holy LandThis 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.Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastDate of Birth *Age/Grade Completed *3 years4 years5 yearsKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeGenderMaleFemaleAllergies Emergency Contact InformationPlease enter the name of the parent or guardian who should be contacted in the case of an emergency.Parent/Guardian *FirstLastPhone *Email *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMore informationI 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 CommentsSubmit