Thank you for your interest in registering for Crossroads!
Crossroads is a summer camp sponsored by Covenant Christian Reformed Church for children entering 2nd grade through 8th grade. Activities planned for Crossroads include Sports, Games, Arts and Crafts, Drama, Bible Lessons, Water Games and Movies. We hope you'll join us for another event-filled summer!
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Lets get started...What is the Parent or Guardians's Name *

First and Last Name please
 
What is your address? *

Number and Street Name
 
What is your City? *

 
What is your State? *

 
What is your Zip? *

 
Please provide your Home phone number: *

 
What is your Cell Phone number? *

 
What church do you attend (if any)?

 
Great! let's move on to Camper Registration

Please answer the following questions to register your camper(s). If you are registering more than one camper, the questions will repeat.
 
What is your Campers name? *

 
Gender: *


 
Age: *

 
Date of Birth: *

 
Grade in Fall: *

 
School: *

 
What Session(s) will {{answer_Mc84tPffuzIn}}  attend? *

Sessions last 4 weeks and are $225/session

 
Would you like to purchase a T-shirt for {{answer_Mc84tPffuzIn}} ? *

T-Shirts are $10
     
 
Okay, great! What Size? *


 
Would you like to register another camper? *

     
 
Camper 2 Registration

You've done it once, you can do it again! If you are registering more campers, the questions will repeat.
 
What is your second campers name? *

 
Gender: *


 
Age: *

 
Date of Birth: *

 
Grade in Fall: *

 
School: *

 
What Session(s) will {{answer_vkh3FwWuBQLf}} attend? *

Sessions last 4 weeks and are $225/session

 
Would you like to purchase a T-shirt for {{answer_vkh3FwWuBQLf}} ? *

T-Shirts are $10
     
 
Okay, great! What Size? *


 
Would you like to register another camper?

     
 
Camper 3 Registration

Please answer the following questions to register your camper. You're getting good at this! If you are registering another camper, the questions will repeat.
 
What is your third campers name? *

 
Gender: *


 
Age: *

 
Date of Birth: *

 
Grade in Fall: *

 
School: *

 
What Session(s) will {{answer_uTFefxxDefIq}} attend? *

Sessions last 4 weeks and are $225/session

 
Would you like to purchase a T-shirt for {{answer_uTFefxxDefIq}}? *

T-Shirts are $10
     
 
Okay, great! What Size? *


 
Would you like to register another Camper?

     
 
Camper 4 Registration

You know the drill!
 
What is your fourth campers name? *

 
Gender: *


 
Age: *

 
Date of Birth: *

 
Grade in Fall: *

 
School: *

 
What Session(s) will {{answer_qQhAp9IkYCzj}} attend? *

Sessions last 4 weeks and are $225/session

 
Would you like to purchase a T-shirt for {{answer_qQhAp9IkYCzj}}? *

T-Shirts are $10
     
 
Okay, great! What Size? *


 
Would You like to register another Camper?

     
 
Camper 5 Registration

Way to go! You deserve an award for filling this all out!
 
What is your fifth campers name? *

 
Gender: *


 
Age: *

 
Date of Birth: *

 
Grade in Fall: *

 
School: *

 
What Session(s) will {{answer_tuUJV4qsoqSp}} attend? *

Sessions last 4 weeks and are $225/session

 
Would you like to purchase a T-shirt for {{answer_tuUJV4qsoqSp}}? *

T-Shirts are $10
     
 
Okay, great! What Size? *


 
Thank you! Your registration is complete! Your registration total is: {{var_price}}

What a deal!
 
Are you able to pay {{var_price}} with a credit or debit card right now?

     
 
You may pay in person via cash or check.
By clicking "I accept" you agree to make full payment of {{var_price}} by June 15, 2018, understanding that your children will not be able to attend camp until they are paid in full.

If finances restrict the ability of your child to attend Crossroads, speak with Johnnie and we will work with you. Money should never be the deciding factor in Crossroads.
If finances restrict the ability of your child to attend Crossroads, speak with Johnnie and we will work with you. Money should never be the deciding factor in Crossroads.
     
 
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