2017 PraiseMakers Christmas Camp Registration

Please fill out a separate form for each child. Be sure to complete Medical Release form (print attached PDF and bring it Monday morning.) 

Camp is Dec. 1 - 3 (Fri. - Sun.) 

Cost is $30 per child (includes daily snack, meals, supplies, and Fun Kit). Register by Nov. 29. Make check payable to Hominy Baptist Church and mail to: 

Hominy Baptist Church, attn: PraiseMakers Camp
135 Candler School Road
Candler, NC 28715

 For more information contact Kristen Dominguez, 828-667-4541, ext. 226

 

Please complete the form below

Child's Name *
Child's Name
Parents Name *
Parents Name
Primary Phone *
Primary Phone
Secondary Phone
Secondary Phone
Work Phone
Work Phone
Emergency Contact *
Emergency Contact
Emergency Contact Number *
Emergency Contact Number
My child will attend and participate in the performance on Sunday at 7 pm.