Catching Fire (Summer Camp 2024) Camper Application

Camper Age Group?

Kids Camp ($140.00)
Ages 6 - 12
July 11-14
Teen Camp ($165.00)
Ages 13 - 18
July 14-18
Church Pays (Kids Camp) ($0.00)
You register and your church covers the cost. Please make sure you communicate this with your local church.
Church Pays (Teen Camp) ($0.00)
You register and your church covers the cost. Please make sure you communicate this with your local church.
Need Sponsor (Kids Camp) ($0.00)
For youth not associated with a church or financial situations.
Need Sponsor (Teen Camp) ($0.00)
For youth not associated with a church or financial situations.

Teen Camp T-Shirt

Teen Camp
$25.00 ea.
Add

T-Shirt Size

Kids Camp T-Shirt

Kids Camp
$25.00 ea.
Add

T-Shirt Size

Camper Name

Date of Birth

Are you UNDER the age of 18?

Address

Gender

Male
Female

Church

Camper Signature

I, the undersigned, agree to the terms above.

A signed waiver by event participant or parent/guardian will be required before you can download your QR code. A link to obtain waivers for all registrants will be shown on the confirmation page.

Insurance Company Name

Insurance ID Number

Primary Physician

Physician Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. Reply STOP to cancel. View our terms of service & privacy policy.

Comments

I grant permission to the Pentecostal Church of God Southern California District Inc, to use my image (photographs and video) for use in Media publications including but not limited to:

Videos
Email Blasts
Recruiting Brochures
Newsletters
Magazines
General Publications
Website and/or Affiliates
Other

Please select from the following choices:

I am the parent/legal guardian of the child attending camp.
I am a camper who is 18 years of age or older.

Convenience Fee

$0.00

Running Total

$0.00

Special Code

Total

$0.00

Teen Camp T-Shirt

Kids Camp T-Shirt

INSURANCE

INFORMATION

PAYMENT