Winter Camp 2025

Please fill out this form to register your student for WCC WinterCamp. You MUST complete the PayPal payment or you child will not be registered. You do not have to have a PayPal account - you can use a debit/credit card as a guest.

Winter Camp Registration

Parent Name * Parent Name Street Address City Zip Phone - 1 Phone - 2 Email Family church (if applicable)

Child

Name (First/Middle/Last)

Gender

Male Female

Birth Date (mm/dd/yy)

Grade School

Emergency Contact

Name * Phone * Relationship *

Medical Information

Does any above child have any allergies, medicines, or special needs? *

Yes No

Child Name Please explain Doctor's Name Phone

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I have read and agree to the Terms and Conditions stated above *

Date: Monday, 13 January 2025 (EST)

Name:

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Fees *

1 child ($215 USD)

To complete registration, continue to payment.
Your child(ren) will not be registered until payment process is complete.
You do not have to have a PayPal account. You can use a debit/credit card and checkout as a guest.

Are you intending to Ski/Snowboard? * Select an option:YesNo

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