candlewyck church
CONNECT, GROW, SERVE
Registration Form
MissionQuest Student Missions Camp
Leaving your mark on Charlotte
August 9-13 2009
Key Leader’s Name
Church Name
Address
Home Phone
Work Phone
Mobile Phone
Email Address
We are interested & just want more information for now.
Estimate # of Students
Names/Ages of Students (list by gender)
Estimated # of Adult Chaperones needed (1 per every 5 students – gender specific)
Adult Chaperones Names/Phone #’s
May we have permission to use your child's photograph in church publictions for the purpose of promotion?