Welcome to the Texas Camp #4 Online Registration
Enter your church's information below and be sure to
Click on the SUBMIT button at the bottom.

Church Name:

Church Location City:



Church Location State:


Contact Phone Number (xxx-xxx-xxxx):



Contact Email Address:


Pastor's Name:



Will Your Pastor Be at Camp?:
Yes No

How many Females including sponsors will be attending:

How many Males including sponsors will be attending:

Total Attending Camp:

Teachers Need to Know How many Students to expect:

How many Pre-Schoolers:

How Many 1st Graders:

How Many 2nd Graders:

How Many 3rd Graders:

How Many 4th Graders:

How Many 5th Graders:

How Many 6th Graders:

How Many 7th Graders:

Enter pass code camp4me in this field to prove you are not a robot:

After Submitting this form you will be contacted by email or called to confirm your registration.

If you are not contacted within 3 days email: paulclarkclerk@gmail.com

Please make sure you have confirmation of your registration before coming to camp.