Summer Day Camp REGISTRATION

Parent's Name*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

How many children are attending?*

Child 1: Name*

Child 1: Age*

Child 1: Any Allergies?

Anything we should know about your child(ren)?

Emergency Contact Name*

Emergency Contact Cell*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

I give Gather permission to take & share photos of my child. (We will not share names)*

Total

$50.00

More information: https://www.gatherfamilychurch.com/camp

Facebook Event:

Billing Information

Name*

Payment Method

Credit Card
Pay in Person

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Confirm Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Location Information

Location Name
Gather Kids Place
Address
7856 Westside Park Drive, Mobile, AL, 36695 US
Directions
Google, Bing, MapQuest

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