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Child's Name:

Parent's Name:

Email:

Address:

City, Zip:

Primary Phone Number:

Alternate Phone Number:

Child's Gender:
Male    Female
Grade completed as of June 2015:
1     2       3       4       5      
Child's birthday:

Child's T-Shirt Size
Youth small     Youth medium     Youth large
Adult small      Adult medium     Adult large
Special instructions:


My child has food allergies that you need to be award of
Yes     No


How did you hear about the camp?


Registration Fee $20 per child - $40 family
To help us process your payment, please select an option below.
  • I will mail my payment to the address below.
  • I will use PayPal. (PayPal options revealed when the form is submitted)
    I would like to request a scholarship:
  • Yes Please enter amount requesting.
  • No
Mail check or cash to

Stepping Stones Church
2001 Central Circle #106
McKinney, TX 75069
Questions? 972-548-1300

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Each child needs to be registered separately.
(After submitting the form, hit the back button to register the next child.)

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