Camp Registration Life Equals Fun Kid’s Camp – Event Registration: Saturday, February 23, 2019 Parent/Guardian Name* First Last Additional Parent/Guardian First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email PhonePrimary Language Spoken at Home*SpanishEnglishOtherHow many are in your family?*12345678910More than 10Please list the names of those in your family that will be attending, as well as their age.*First NameLast NameAgeM / F Limit is ten. Please click the plus sign to add more names. If more than 10, please complete the registration form again.Please prove that you are human and check the box below.
