CentriKid Camp Registration 2023
June 20-24, 2022 | For more details email Tim@wlbc.org
CentriKid
Camp -
June 26-30, 2022 - Eagle Eyrie Conference Center. CentriKid is an overnight camp for completed 2nd–6th graders!
Child's Name
*
Parent/Guardian Name
*
Parent's Email
*
This address will receive a confirmation email
Phone
*
Birthdate
*
Grade for 2023/24 School Year
*
Please select one option.
3rd
4th
5th
6th
7th
Deposit required to secure spot
Pay Now by Credit/Debit Card ($75)
Pay by cash/check in church office ($0)
Pay Now by Credit/Debit Card ($75)
Pay by cash/check in church office ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
June 20-24, 2022
For more details email Tim@wlbc.org
×
Please Fix the Following