WOW Camper Form

ON-LINE REGISTRATION 

WEEK OF WONDER
JULY 29-AUGUST 2

*After you have submitted your form, you can either PAY ONLINE or make your check payable to "St. Francis Episcopal Church" and return it to the church office at

345 Piney Point Rd. Houston, TX 77024 with the memo "WOW". $50.00 per child

If you have any questions, please contact Allison Devlin at 832-325-2988 

Please complete the form below:

Name *
Name
Gender *
Date of Birth (must be 4 by July 29, 2019) *
Date of Birth (must be 4 by July 29, 2019)
Additional Children (all fields required if applicable)
Child's Name
Child's Name
Gender
Date of Birth (must be 4 by July 29, 2019)
Date of Birth (must be 4 by July 29, 2019)
Medical Information
Doctor's Name *
Doctor's Name
Doctor's Phone Number *
Doctor's Phone Number
Allergies or intolerances? *
I Give St. Francis permission to use photos of my child in church publications and on the church website and Facebook page. No names will be used. *