2024 Kansas Kids Camp Counselor/Adult Registration Form

Monday July 29 - Thursday August 1st @ Westminster Woods Camp in Fall River, KS

Must be 16+ to be a counselor.

Cost: $125 | Checks payable to your home church. | Deadline to register & payment due date is June 26th.

(registrations paid after June 26th won't be guaranteed a t-shirt) Returned checks subject to a $30 service fee.

Full Name

Gender

Age

Mailing Address

Primary Phone

This address will receive a confirmation email

T Shirt Size

Please list any medical conditions or medications the camp director should be aware of and a contact name and number in case of emergency.

Do you have any goals for yourself while serving at Kansas Kids Camp this year (e.g., social, spiritual, emotional, physical)?

Permission to use photo/videos for camp promotion/celebration.

Recognizing the need to keep our children safe, I hereby state my home church has conducted a current background check as directed by the Wesleyan Church of Kansas that gives permission to work with children or youth at Kansas Kids Camp. Type name and date below as agreement:

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2024 Kansas Kids Camp Counselor/Adult Registration Form

Description

Please Fix the Following