just4kids

for kids ages 6 to 12
(born between 1996 and 2002)

Pre-registration closes on Friday, July 4th at noon!

9:00 am -2:30 pm
Bring your own lunch
at KCCRC, 46 Castlefrank Road

Cost for the week is $10 per child.
If more than one child from the same family
is attending , cost is $10 for the first child
and each additional child is $5 each. (Max $20)

Thursday, July 10th
6:00 pm  BBQ - $2 burgers and drinks
7:00 pm Talent Show by the kids of Just 4 Kids Day camp

Just 4 Kids brochure
** If you do not  receive a confirmation e-mail within a week, please call the church at 831-7458 to register.** 

Please fill in the following fields:

Name of Child 1 Gender male female

Birthdate (month/year)  Health Card #  

Allergies/Special Needs 

Name of Child 2 Gender male female

Birthdate (month/year)  Health Card #  

Allergies/Special Needs  

Name of Child 3 Gender male female

Birthdate (month/year)  Health Card #  

Allergies/Special Needs  
For more than 3 children, please fill out another form.

Parents/ Legal Guardians Name 

E-mail address 

Address 

City 

Phone No. Alternate / Emergency Phone No. 

Physician's name and phone #  

Church Affiliation (if any) 

Attends Sunday School yes no

Heard about Just 4 Kids Day Camp from 

Will you bring any friends who are not in you family?  If so, please tell us who, and ask them to register as well..

1 2 3
Friend's name and age

Please print the release form below and bring it to KCCRC along with your registration fee on the first day of camp.

Release Form