Refuel Boys Pre-Teen Camp Registration 2025

July 23 - 26, 2024 | Have your kids come out and get refueled for Christ!

$425/student- $100 non-refundable deposit (Shirt, meals and bus ride included)
For kids who entering 4th - 8th grade (as of summer of 2025)

Pre-Teen Information

Name

*

Date of Birth

*

Gender

*

Please select one option.

Male

Grade (entering fall 2025)

*

Please select one option.

4th 5th 6th 7th 8th

Name of School

*

Home Church

*

T-shirt Size

*

Please select all that apply.

YM YL S M L XL

Parent/Guardian Info

Name

*

Phone

*

Email

*

This address will receive a confirmation email

Address

*

Emergency Contact Info

Name

*

Phone

*

Email

*

Payment

I have read and acknowledge that my deposit is non-refundable and that the balance is due June 15th. If you have to drop from the weekend on or after June 15th then you will not receive a refund for any additional payments. Please type your name below in acknowledgment.

*

Payment

Deposit ($100) Half Payment ($212.50) Full Payment ($425)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 23 - 26, 2024

Have your kids come out and get refueled for Christ!

$425/student- $100 non-refundable deposit (Shirt, meals and bus ride included)
For kids who entering 4th - 8th grade (as of summer of 2025)

Please Fix the Following

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