Registration Summer Camp

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Summer Camp Registration

Campers First Name

Campers Last Name

Birthday

Street Address

Region/State/Province

City

Postal / Zip code

Parents

Parents Email

Allergies

Doctor & Phone Number

Health Ins. Co. & Policy #

Emergency Contact if Parents are not available

Emergency Contact Phone Number

Names of Individuals and phone numbers allowed to pick child up from summer camp

ABOUT US

Level Cross Christian School is a ministry of Level Cross Baptist Church. The school offers Christian education for pre-school thru high school. ACE (Accelerated Christian Education) is the curriculum used by LCCS.

CONTACT INFO

Address: 10169 US 220 Business

Randleman, NC 27317

Telephone: 336-495-1397

Fax: 336-495-3098

Email: lccs@northstate.net

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