Camp Registration Form – Christ Community Bloomington

Sunday Mornings

9:15am, Sunday Morning Classes
Adult Classes: ACGs
Kids (Pre-K–5th) Classes: Huddles
Youth Class: Base Camp

10:30am, Worship Service
Kid’s Worship Service: Underground

1st Sunday of the Month: Family Worship
(elementary-age children join us in the sanctuary for worship)

Birth-preK childcare provided for all Sunday Morning times

Sunday Mornings

Summer Schedule (May 24 – August 9):

9:15am, No Summer Programming

10:30am, Family Worship
(elementary-age children join us in the sanctuary for worship;
birth-preK childcare provided)

Primary Contact Info - Step 1 of 8

Parent/Guardian Info

Name of person registering camper(s)

First

Last

Your Email

Relation to camper(s)

Parent
Legal Guardian
Grandparent
Other

Name of Parent/Guardian #1

First

Last

Email of Parent/Guardian #1

Adress of Parent/Guardian #1

Address Line 1

Address Line 2

City

State

Zip Code

Phone Numbers of Parent/Guardian #1 (enter up to 3)

Please enter phone numbers we can use to contact you during camp, if needed.

Phone Number

Name of Parent/Guardian #2

First

Last

Email of Parent/Guardian #2

Address of Parent/Guardian #2 (if different)

Address Line 1

Address Line 2

City

State

Zip Code

Phone Numbers of Parent/Guardian #2 (enter up to 3)

Please enter phone numbers we can use to contact this person during camp, if needed.

Phone Number

Pursuing Christ, Together

Sunday Mornings

Sunday Mornings

Sunday Mornings

Parent/Guardian Info

Emergency Contact Info

Pediatrician's Info/Camp Agreement

CCC Camp Agreement

Camper Info 1

Camper Info 2

Camper Info 3

Camper Info 4

Payment/Scholarship

Christ Community Church exists to reflect the redeeming grace and transforming truth of Jesus Christ in a college town.