Kids Camp registration form

2024 Kids Camp Pre- Registration

"*" indicates required fields

Church Name*

Church Phone*

Church Address*

Street Address City State ZIP Code

Church Representative*

First Last

Email Address for Representative*

Best Phone for Representative

Session Requested*

Session 2 – July 23 – 27 (Tuesday – Saturday)

Session 3 – July 29 – August 2 (Monday – Friday)

Estimated Number of Adults and Children*

Form of Payment*

Credit Card via PayPal (3% convenience fee will be added)

Check via Mail

Pay Deposit via Credit Card

Price: $0.00

Total Nonrefundable Deposit – Check (Estimate x $40)*

Reservation is not completed until deposit is received. Please make checks to Mt. Lebanon Camp, PO Box 427, Cedar Hill, TX 75106-0427.