2024 Capernaum Day Camp

Participant Information

Guest Type

Registration Options

Please confirm your student is involved with MN VALLEY CAPERNAUM

Participant Name

Date of Birth

Phone

Secondary Email

Participant Address

Gender

Ethnicity

T-shirt Size

School

Does your student have any dietary needs/allergies

Additional Comments

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% processing fee?

Processing Fee

$4.98

Total

$203.98

Name

Payment Method

Credit Card

Address