Midwest Camp Kogape 2019 Registration Form

  • High School and Middle School Summer Camp

Discount for 2nd Child Registration

$0.00


Participant's Information

Emergency Contact




Medical Form



Parent / Legal Guardian Consent

By my signature below, I attest to the fact that all the information above is true and that I have given approval for the Camp Workshop Staff to provide emergency medical treatment or hospital care for my child ONLY ihttps://manage.webconnex.com/f I cannot be reached or am unable to be contacted.


$0.00

Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
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