Immanuel Evangelical Music Camp 2026
06/22/2026-06/26/2026 | MUST REGISTER BY JUNE 1ST
Participant and Volunteer Registration Form.
Contact Deanna at 567-242-4490 with any questions.
Child or Volunteer's Name
*
Allergies
Grade Completed 2025-26 OR Volunteer
*
Please select all that apply.
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
VOLUNTEER
Parent's Name OR Volunteer
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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FM
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MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
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ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
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TN
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T-shirt Size
*
Please select all that apply.
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
I authorize my child to be in pictures/videos
*
Please select all that apply.
Yes
No
Participation
*
Please select one option.
Will NOT be at musical
Would like speaking part
Does NOT want speaking part
Would like non-speaking part
Select Option
Will NOT be at musical
Would like speaking part
Does NOT want speaking part
Would like non-speaking part
Other Information
Registration Fee
Child ($53.00)
Volunteer (0.00)
Donation
Child ($53.00)
Volunteer (0.00)
Donation
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
06/22/2026-06/26/2026
MUST REGISTER BY JUNE 1ST
Participant and Volunteer Registration Form.
Contact Deanna at 567-242-4490 with any questions.
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