Junior High Youth Camp
Junior High Youth Camp
First Name  * 
Last Name  * 
Address  * 
City  * 
Zip Code  * 
Phone  * 
Cell Phone
Grade (In Fall 2017)  * 
Age  * 
Don't forget the liability form! When you're done registering, please download, print and fill out the form that you will be directed to. An email with the form will also be sent!
If you have already turned in a 2017 liability form, you do not have to fill out another one.
If you have any questions, please email Pr. Frankie (frank@harvestchurch.us).
Your Email Address  * 
Total $
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