Brookside Baptist Church
Sunday, November 23, 2014
Brookside Cares

KMAK Registration Form

 
 

KMAK Individual Registration

Kids Mission Adventure Kamp 2013

 

 T-SHIRT - PLEASE CHOOSE ONE

Name of person attending camp:   

School grade completed:        Sex:    Female   Male

 Age:     Birth date: 

sponsoring church:   

parent or Guardian (OF MINOR): 

PHONE: HOME   CELL    WORK 

ADDRESS: 

CITY:    STATE:   ZIP: 

IN CASE OF AN EMERGENCY  RELATIONSHIP: 

EMERGENCY PHONE NUMBERS: