Camp HIS KIDS Unplugged Sign-Up

NOTE: You must complete a separate application for each child who wants to participate.

Has this child attended Camp HIS KIDS in the past?
Treatment Status
T-shirt Size

I hereby give permission for the child named above to participate in the HIS KIDS Camp Unplugged program and all events/activities connected with said program. 

Thanks for submitting! We will contact you by email soon!