JUNIORS

Junior Youth Camp Registration
Ages 7-12

You may register online using the form below, but must also include your PayPal payment or registration will be void. You may also register at the door with a completed printable form.

FAMILY DISCOUNTS:
We are offering $5 off per additional child of same household (2nd-4th child). Please make note when adding multiple registrations to your cart.

* Indicates required field

Name *

First

Last

Age during camp *

Date of Birth 00/00/00 *

Gender *

Male Female

Registrant's Email (if applicable) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Name *

Parent/Guardian Phone *

Alt. Phone Number *

Emergency Contact *

Phone Number *

Church Name *

Church location (city, state) *

Your Pastor's Name *

Have you received the gift of the Holy Ghost? *

yes no

Have you been baptized in Jesus' Name? *

yes no

List any known medical conditions the camp should be aware of: *

List any medications that may be taken during camp: *

Name of person paying via PayPal *

PayPal email address *

Upload photo of yourself *

Max file size: 20MB

Select T-Shirt Size *

I agree to abide by all rules and guidelines that may be found on acofla.com *

Yes

I agree to receiving marketing and promotional materials

Submit

YOUR CART

Junior Youth Camp RegistrationAges 7-12

Junior Youth Camp Registration
Ages 7-12