Registration Form

Royal Family Kids' Clubs Mentor Application Form

YES, I want to consider becoming a Royal Friends' Club Mentor

Please fill out the requested information that is listed below. We will be contacting you soon. Thank you for your willingness to help.

First Name:	*
Last Name:	*
Email Address:	*
Work Phone:	Extension
Home Phone:	*
Address Line1:	*
Address Line2:
City:	*
State:	*
Zip / Postal Code:	*
About Your Church
Name of Church:
Royal Family Kids' Camp #:
Address Line1:
Address Line2:
City:
State:
Zip Code:
Senior Pastor:
Church Phone:
Church Fax: