Gen NOW Camp 2025 Registration Form

Le Tourneau Christian Center
4950 East Lake Rd
Rushville, NY 14544
Phone: 585-554-3400
Fax: 585-554-3419

Cost: $185/person

Parent/Emergency Contact Info

Parent/Emergency Contact Name

Parent/Emergency Contact Phone #

Parent/Emergency Contact Email

This address will receive a confirmation email

Parent/Emergency Contact Address

Secondary Contact Name

Secondary Contact Phone #

I, the parent or legal guardian of the child(ren) listed below release Rock Solid Church, together with the adult leaders, from any and all claims resulting from injury or damage that may be sustained by my child while participating in the activity listed below.

Youth #1

Youth #2

Youth #3

Youth #4

Payment

If you chose the Pay Later option, know that payment is due NO LATER than July 17th.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out the Parent/Emergency Contact info first.

Second, fill out a single form for EACH youth that will be attending, and click submit for EACH Youth.

Lastly, please complete the payment information. NOTE: If you select the "Pay Later" option, you will have to submit payment by cash or check NO LATER than July 15th.

Gen NOW Camp 2025 Registration Form

Description

Please Fix the Following