Lighthouse Camp
June 29, 2025 4:00 PM - July 4, 2025 3:59 PM
Type
Price
Quantity
Camper
Price
$300.00
Quantity
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Camper
0
First Name
Last Name
Preferred Name
Date of Birth
School Grade in the Spring of 2025
-- None --
Nursery/Pre-school
Kindergarten
1
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12
Gender
Male
Female
Other
Gender Other
T-Shirt Size
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
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Adult Large
Adult XL
Adult XXL
Home Address
Home Address Line 2
Home City
Home State
Home Zip Code
Parent/Guardian Information
First Parent/Guardian
First Name
Cell Number
Last Name
Second Parent/Guardian
First Name
Cell Number
Last Name
Church Home