Talitha Koum Registration

Important Information

Due to the limited number of spaces for Talitha Koum, your application will be confirmed via email.

Parent/Guardian Information

Parent/Guardian Name*

Applicant Information

Applicant Name*
Please enter a number from 12 to 15.
Date of Birth*
T-shirt size*
All t-shirt sizes are adult.

Permission & Medical Forms

A Permission & Medical Form must be completed for each applicant.
Please use the button below to download a copy. Each participant is responsible for bringing their permission forms and submitting them the day of the camp.
Please check this box to acknowledge that you have downloaded the forms.*
Registration fee will be due upon arrival at the camp.
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