Messy Church Summer Camp 2025 — Parish of South Carleton

Parent/Guardian Name

First Name

Last Name

Phone

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Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

1st Child's Name

First Name

Last Name

2nd Child's Name

First Name

Last Name

3rd Child's Name

First Name

Last Name

4th Child's Name

First Name

Last Name

Child/children's ages

Comments, concerns, allergies

Dates your children will attend

Day 1

Day 2

Day 3

Day 4

Day 5