Camp IMPACT Registration Form | Impact Center

top of page

Home
About
Programs
Ways to Give
Gallery
Register Your Child
Camp IMPACT
More

Use tab to navigate through the menu items.

Make a Donation

Camp IMPACT Registration Form

To register, please take the time to fill out the information below.

Child Information

Child's name

Child's birthday

Child's address

Name of child's school

Grade Entering

Please list and describe below any special medical conditions, including food allergies, your child may have that IMPACT Center staff or volunteers need to be aware of.

If no other transportation to this program is possible for your child, please reach out to us at the IMPACT Center, and we will try to assist.

66 E. Second Street

Winona, MN 55987

(507) 474-9323

Check us out on Facebook at:

Impact Center

We have so many exciting things going on, be the first to find out!

Enter Your Email here

Thanks for submitting!

Register Your Child

Make a Donation

Email your comments or questions to: info@impactyouthcenter.com

bottom of page