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(A Greater Detroit District, Michigan Conference Ministry)
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Check-in Instructions
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1
Camper Information
2
Parent Information
3
Credit Card Information
Church Name
*
Pastor
*
Camper Name
*
First
Last
Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
School Grade (next semester)
*
Birthdate
*
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YYYY
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Sex
*
Male
Female
Has the camper attended a United Methodist Camp before?
Yes
No
# of years?
What is the camper's T-Shirt size?
Next
Parent / Guardian Name
*
First
Last
Address (if different than Campers)
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
Daytime Phone
*
Home Phone
I release all photos, videos, and audio tapes of me/my child to the UMYC to be used for promotional purposes only. In signing this document, I give permission for my child to have access to Zoom, MyCourses (the on-line learning platform), videos and websites. Login information will be provided to the email provided on the course registration form. Access of Zoom is password protected and participants, guardians and instructors will be allowed access.
*
Yes
No
I would like to learn more about an area United Methodist Church
Yes
No
Previous
Next
Camp Registration Fee
*
$100 - Amount Due
No reimbursements
Total
*
$0.00
Credit Card
*
Card Number
Security Code
Name on Card
Expiration
MM
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YY
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Name
Register Camper