USING THE CONNECT

REGISTRATION

Complete this form to register for Camp

CAMP DATE

Child Name

First Name

Last Name

Child Cell Phone

(###)

###

####

Child Email

Child T-shirt Size

Youth Medium - Adult XL

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Guardian Name

First Name

Last Name

Guardian Cell Phone

(###)

###

####

Guardian Email

Questions?

Feel free to contact us with any questions.

Email
info@TheCodeConnect.org