April CampRegistration Form - 2026 Section 1: Parent / Guardian Information Full Name RelationshipFatherMotherGuardian Phone Number Email Address Church Affiliation Physical Address Section 2: Adolescent Information Adolescent Full Name Date of Birth Age Group 11-14 Years Old 15-17 Years Old GenderMaleFemale Areas of development needed? How did you hear about us?ChurchSocial MediaReferralBrochure Consent: By signing this form, I understand that Chokmah Foundation will use the provided information solely for the purpose of communicating about M.A.P. I have read and understand Chokmah Foundation’s commitment to Child Protection and Safeguarding. Complete Registration
