Christmas/New Years Holiday Camp
3C Agape Academy Youth Holiday Camp Global Network Outreach Ministries. 9466 Greenwell Springs Road, Baton Rouge LA 70814 225.975.7580 globalnetworkoutreach.com
Camper's Name
*
First Name
Last Name
Additional Camper's Name
First Name
Last Name
Additional Camper's Name
First Name
Last Name
Parents Name
*
First Name
Last Name
Parents Name
First Name
Last Name
Parent's Phone Number
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Please enter a valid phone number.
Email Address
*
example@example.com
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
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Please enter a valid phone number.
Allergies
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Holiday Camp
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Monday, December 22nd
7a to 530p
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Tuesday, December 23rd
7a to 530p
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Wednesday, December 24
7a to 130p
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Friday, December 26th
8a to 530p
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Monday, December 29th
7a to 530p
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Tuesday, December 30th
7a to 530p
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Wednesday, December 31st
7a to 130p
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Friday, January 2nd
7a to 530p
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Admin fees
$
2.00
Payment Methods
Credit Card
Cash App Pay
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