Student Name * First Name Last Name Current Grade * 2022-2023 School Year 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Parent/Legal Guardian Name * First Name Last Name Parent/Legal Guardian Phone * (###) ### #### Parent/Legal Guardian Email * Name of Camp * Dates Attending * If unknown, please email amanda@nhccmn.org once known Do you consent to your student's name and camp info being sent to a prayer partner? * This is an adult/teen who is committed to praying for your student during their time at camp Yes No By checking the box below, you agree that the following statements are true about yourself * 1. I consider New Hope Community Church my home church 2. I agree to use the scholarship code for my own personal use and not share it I agree that the above statements are true Thank you!