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Arkansas City Camp Good News
®
1
General Info
2
Medical Info
3
Permissions
4
Parent/Guardian Info
Arkansas City Camp Good News Brochure
* Denotes Required Field
For questions contact Ann -
ajkoehn3@yahoo.com; 620.747.0284
Child's First Name:
Proper format "Firstname"
Child's Last Name:
Proper format "Lastname"
Gender:
Select
Boy
Girl
Address:
City:
State:
Select
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Proper format "12345"
Parent's Email:
Proper format "name@something.com"
Child's Birthdate:
Enter a valid birthdate mm/dd/yyyy format for your child
Age at time of camp:
Select
8
9
10
11
12
13
14
Grade Completed in 2024-2025 school year:
Select
2
3
4
5
6
7
8
Bring a New Camper, and Win a Prize
1. You must attend Camp Good News at Quaker Haven, Arkansas City, Kansas.
2. All returning Campers are eligible.
3. One of the choices below must be selected and appropriate name entered.
4. If two claim credit for bringing the same Camper, the one with the earliest postmarked/online registration will receive credit.
5. The Camp records are final.
Prize Registration: Please select a choice
Please select one
I am bringing a new Camper
I am a new Camper invited by a previous Camper
Not applicable
If you are bringing a new Camper, please enter the first and last name of the
new Camper
invited by you
If you were invited by a previous Camper, please enter the first and last name of the
Camper who invited you
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