Faith That Overflows!

KDW Retreat Children’s Camp2 years old through 5th grade

October 4th - 6th, 2019❖ Qualified, caring staff❖ Meals with Mom❖ Two nights housing in cabin with Mom❖ Indoor/ Outdoor activities❖ Naptime as needed❖ Crafts❖ Games

$35 per childThis registration form must accompany

corresponding adult registration.Please label all belongings.

Child’s Name ______________________ Age ______________________

Contact Name ______________________Contact Cell # ______________________

Allergies ______________________ ______________________

Medication ______________________ ______________________

Special Needs ______________________ ______________________

Please fill out a separate form for each child.