Registration Form
Complete and return the form with fees to:
Teresa Gray, Director
Epworth United Methodist Church
1030 Burrage Road, NE
Concord, NC 28025
Child’s Name:____________________________________________ Birthdate:__________
First Name Last Name
Address:________________________________________________________
City:______________________ State:___________ Zip:________________
Phone Numbers:_____________________________________________________________
Home Work Cell
Parents’/Guardians’ Name:__________________________________________
Will your family plan on attending the Family Celebration and Cookout on
Friday, August 8, 2008 at 6:00 pm?
_____ Yes _____No We will send our more information as we get closer to the event!
THIS SECTION MUST BE COMPLETED BY ALL CHILDREN WHO WILL BE ATTENDING SUMMER CAMP! Please put a check in the box below for the week(s) you want your child to attend summer camp. |
THIS SECION IS FOR PRESCHOOLERS ONLY!!! Please put a check beside the appropriate class and number of days your preschool child will be attending summer camp. |
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Weeks |
Themes |
_____2.5 to 3 years (still potty training) _____3 to 4 years _____Rising Kindergarten (Only option-5 days) |
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June 9 |
Summer Safari |
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June 16 |
Water & Bubbles |
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June 23 |
American Pride |
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2 Days Tuesday Thursday |
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July 7 |
Summer Safety |
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July 14 |
Beach Week |
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3 Days Monday, Wednesday, Friday |
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July 21 |
Summer Olympics |
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July 28 |
Community Service |
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5 Days Monday through Friday |
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August 4 |
God Made Me Special! |
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