CKJ - Pierce Church

Camp KidJam 2018 Sign-Up

Fill out the information below for your child. Click here for a list and description of camp activities.

* Indicates required field

Name *

First

Last

DOB (MM/DD/YYYY) *

Grade (Entering Fall 2018) *

First Choice Activity *

Shirt Size *

Second Choice Activity (if first choice is full) *

Parent Name *

First

Last

Parent Email *

Primary Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Second Phone Number *

Additional Comments/Questions *

Submit

PAYMENT: Secure a spot for your child with a non-refundable $50 deposit (which will also go toward full payment). Full camp price is $272 ($222 remaining balance after submitting $50 deposit). Sorry, but there are no discounts for having more than one child register for camp.

HOW TO PAY: Pay by check (written to Upland United Methodist Church) or cash at the church office (M-Th, 9 AM - 3 PM). You may also submit payment online by entering amount on the "Camp Fee" line under the YOUTH category. Please enter amount and your child's name in the text box.

Camp KidJam 2018 Sign-Up

201 N. 8th Street, Upland, IN 46989 | (765) 998-2985