Mens Camp Registration | Celestial Fire

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FIRE CHURCH

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Registration Form

First Name

Last Name

Phone Number

Church you Attend

Pastors Name

Emergency Contact Name

Emergency Contact Phone Number

Do you have any medical problems for which you may need medication?

Yes

No

If you answered "yes", please explainthe medical problem, medication, and how many times a day it must be taken:

Please pay in cash to one of our leaders.

©2023 by CELESTIAL FIRE CHURCH

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