POWER LIFE Summer Camp 2010 Info and Registration

Camp Registration Form
*Required Fields
First Name*
Last Name*
Email*
Verify Email*
Address*
City*
State*
Zip*
Home Phone*
Cell Phone
Birthday*
Age*
Grade Completed this year*
T-shirt Size
Dad's Name*
Mom's Name*
Camp Details:

Dates: July 12-17
Location: East Tennessee State University in Johnson City, TN


Camp Cost and Deadlines:
$350.00 (includes 4 meals on the road)

$50.00 non-refundable deposit

Balances & Medical Forms DUE by May 16th.

Important Camp Meeting on May 16th after the worship service in the Youth Center.


Medical Forms:
Each participant MUST download and complete the following Medical Release Form. The form MUST be NOTORIZED.

Shiloh Medical Release Form

PowerLife Medical Release Form

PowerLife Covenant



Additional Camp Info:

What to Bring

Camp Schedule

If you have any questions, please feel free to contact me.

Bro. Michael

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