Grace Oak Summer Camp 2025 Registration

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Name

Check One

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Male Female

Parent Email

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Parent Cell Phone

Address

Birthdate

Age

Grade completed by June 2025

Home Church

Registration Requirements: Please download, fully complete these forms and pay your $75 registration fee to be placed on a cabin list. Forms are available at https://losaltosgrace.org/8047-2/

Please select all that apply.

$75 Deposit Medical Treatment Consent & Liability Release & ADHD Forms Head Lice Agreement Confidential Form

T-Shirt Size - Please select one

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Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL

I understand that to keep cost low and to provide safe transportation to camp, families will drop off and pick up campers. 415 Club House Dr Blue Jay, CA 92317

Due to the change in dates, we understand that pick up may be difficult for families. If you would like to pay an additional $45 to have your child ride the bus back to the church, please check the boxes below.

Please select all that apply.

Please bus my child home on Friday August 1, 2025 I will pick my child up at Los Altos Grace Church by 2:00pm

Payment

Registration Fee ($75) Registration and Additional Bus Fee ($120)

Amount

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Expiration Date/CVC

Name on Card

Card Billing Address

Description

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Grace Oak Summer Camp 2025 Registration

Description

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