Extreme Week Registration Form Extreme Week 2015 Registration If you are human, leave this field blank. Select One Camp Below Creative Camp (Ages 4 - Completed 5th Grade) Sports Camp (Completed 1st - 5th Grade) Cheer Camp (Completed 1st - 5th Grade) Child's Last Name * Child's First Name * Parent's Names * Street Address * City, State, Zip * Email * Phone * Completed Grade * Preschool (Creative Camp Only) 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Age of Child * Shirt Size * Youth - XSMALL Youth - SMALL Youth - MEDIUM Youth - LARGE Adult - SMALL Adult - MEDIUM Adult - LARGE Adult - XLARGE Allergies How did you hear about us? Flyer Website Friend Returned Camper Other May we contact you with information about our church? * YES NO Emergency Contact * Emergency Phone# * Are there any custody issues we need to be aware of? Once you click “Pay Online” you will be directed to an online payment page. Choose “Quick Give”, then use the pulldown menu to choose one of Extreme Week options.