Kids Summer Day Camp

July 24-25, 2023 10am-2pm
Ages 3-incoming 6th grade
$10/child

Join us for this special time for our PCC Kids in Action! We will have indoor and outdoor fun, music, and lunch will be provided. Register today!
At this time, registration is only open to current PCC Kids in Action families.
*Please note there will be a petting zoo on Thursday.

Please contact our Children’s pastor – April – with any questions.

Child Name *

First

Last

Child Birthdate *

Child Age *

Child Grade (just completed) *Pre-KKindergarten1st2nd3rd4th5th

Child Allergies? *NoYes

Which allergies?

Parental Details

Guardian's Name *

First

Last

Email *

Phone Number (no dashes) *

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Please list any additional adults authorized to pick up your child:

Current Home Church

Please list any other special needs:

Media Release *

• I give permission to use photos/video of my child on PCC’s social media and website. (No names will be associated with any imagery.)
• I do not give permission for my photos with my child to be used anywhere.

Please note there is a $10 fee per child for this camp. *

• I will bring $10 to the church office via cash or check.

Submit