Kids Camp — King of Glory Supernatural Church

Child's Name

First Name

Last Name

Child's Date of Birth

MM

DD

YYYY

Child's Age

Does Your Child Require Special Assistance?

Does Your Child Does your child have any allergy or dietary requirements? If YES, please specify

Does your child have any medical history or current medical requirements? If YES, please specify

Parent/Guardian Name

First Name

Last Name

Contact Number

Relationship with Child

Parent/Guardian Name

First Name

Last Name

Contact Number

Relationship with Child

NOTE

- Please take note that there are camp & logistic fees. - Fees for Children 12 years and below RM120 - Parents are welcome to join the camp. - For more information, please contact +6 019 733 7365