*REQUIRED FIELDS

FULL NAME:

GENDER:

FEMALE MALE

AGE:

HOME ADDRESS:

POSTAL CODE:

CITY:

OUTREACH:

PHONE NUMBER:

EMAIL:

IF MINOR

PARENT / GUARDIAN NAME:

PHONE NUMBER:

EMAIL OF PARENT/GUARDIAN:

ARE YOU REGISTERING WITH FAMILY :

YES NO

IF YES , HOW MANY MEMBERS:

During the entire camp experience, phones will be taken away.
If you wish to check on the campers, you can reach out to these numbers :

Coach Pearl +33 7 45 28 73 36

Delphine Belen +33 7 69 95 90 25

Herve Ebuenga +33 6 44 71 15 87

HOME

WATCH NOW

SUPPORT

*REQUIRED FIELDS

IF MINOR

HOME

WATCH NOW

SUPPORT

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