PASSPORTkids! 2019

Child Information

Child's Name*

Only one child per form!

Current Grade*

My child will be attending Passportkids! June 24-27, 2019*

Tshirt Size*

Food Allergies/Meal Restrictions

Adult Information

Parent's Name*

Email*

Check yes if you already filled this out for another child.

Yes

If yes, continue to Payment Section below.

I would be willing to consider serving as a chaperone during the week of camp.

Yes
No

*Please note that indicating that you are willing to consider being a chaperone does not mean that you have signed up to chaperone. The number of chaperones able to attend is limited due to cost, the number of male and female campers who sign up, ability to drive a 12 passenger van/mini-bus, and other factors. I will follow up with you after registration is completed if you are interested. Please know that camp is also not possible without adequate chaperone availability, per PASSPORTkids! adult to camper ratio requirements, so we do need wiling parents to consider going with us! At this time, I anticipate needing 2-3 male chaperones, and 2-3 female chaperones based on expected registration.

I can help by providing food or resources that are needed?

Yes
No

If I were to attend as a chaperone, I would be interested in serving as a Bible Study assistant.

Yes
No

I would be willing to gather a group of children together prior to camp to:

I’m not willing to help.
Rehearse a song/skit/act for the variety show.
Facilitate costume making/creating for the variety show.

If willing to chaperone/lead, please indicate your T-shirt size.

If willing to chaperone, please note any food allergies/meal restrictions:

Deposit/Payment

Total Cost is $340**

Payment 1: $110 due March 6 (non-refundable initial deposit)

Payment 2: $115 due April 10

Payment 3: $115 due May 15

If a different payment arrangement is needed than the above, please contact Renee. Scholarships are available if needed. Please contact Renee for the Scholarship Application form and return it by the first payment date to reserve your child’s spot.

**A multi-participant discount is available for those families who have multiple children attending PASSPORTkids! this summer. Total camp cost using the multi-participant discount is $300 per child. The initial deposit remains $110 per child, and the two following payments will be $95 each per child.

Check Yes if you have submitted a Scholarship Application

Yes, I submitted a Scholarship Application to Renee.

Payment Option*

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code

Cardholder Name

CAPTCHA

Highland Baptist Church Louisville, Kentucky

Camp Details

PassportKids Registration

Child Information

Adult Information

Deposit/Payment

Camp Details

PassportKids Registration

Child Information

Adult Information

Deposit/Payment

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