Youth Camp — King of Glory Supernatural Church

Youth's Name

First Name

Last Name

Youth's Date of Birth

MM

DD

YYYY

Youth's Age

Does Your Youth Require Special Assistance?

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

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

Parent/Guardian Name

First Name

Last Name

Contact Number

Relationship with Youth

Parent/Guardian Name

First Name

Last Name

Contact Number

Relationship with Youth

NOTE

- Please take note that there are camp & logistic fees. - Fees for Youth above 12 years RM150 - Parents are welcome to join the camp. - For more information, please contact +6 019 733 7365