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2018 CAMP CATAPULT IN THE WILD REGISTRATION

Camp runs 9 AM-3 PM, Monday thru Friday, June 25-29

This registration is for fifth grade boys. All other campers must register for the regular session of Camp Catapult.  

There is a $25 fee for this camp. You can choose from different payment options below. Scholarships are available. 

Please complete one form for every child who you would like to register. You will receive a confirmation email after you complete each registration. 

Child's Name *
Child's Name
Child's Date of Birth *
Child's Date of Birth
Camp Catapult in the Wild boys must be/have been in the fifth grade during the 2017-2018 school year.
Parent or Guardian Name
Parent or Guardian Name
Mailing Address *
Mailing Address
Home Phone Number *
Home Phone Number
Mobile Phone Number *
Mobile Phone Number
Please include name and phone number
If none, type "None"
Name and phone number of anyone other than the parent/guardian who is an emergency contact.
Include the names of anyone who has permission to pick up your child from camp.
If you selected "Yes," please enter the name of the adult male who will be accompanying your child during the overnight campout.
If you selected "Yes," please enter the name of the adult male who will be accompanying your child during the overnight campout.
Please type your name below to certify that you are the legal parent or guardian of the child listed above and that you authorize Topeka Bible Church and its representatives to: Provide first aid for your child or seek medical care by a licensed medical or healthcare professional as needed during camp); transport your child from Topeka Bible Church to the off-site camp location for Camp Catapult in the Wild; and photograph or shoot video of your child participating in camp activities for the purpose of promoting Camp Catapult in the Wild or Topeka Bible Church.