Request edit access
Emmanuel Free Church Kids Fish Camp 2019 Registration Form
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Camper's Age *
Parent/Guardian Name (First & Last) *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
CHECK HERE IF PARENT/GUARDIAN IS STAYING TO PARTICIPATE IN FISH CAMP
PLEASE FILL OUT THE REST OF THIS FORM ONLY IF YOU ARE DROPPING OFF YOUR CHILD(REN) AND WILL NOT BE STAYING TO PARTICIPATE
Emergency Contact & Number (different than parent/guardian above) *
In the event of an emergency, Emmanuel Free Church will first make every effort to contact the Parent/Guardian listed above before contacting the emergency contact.
Your answer
Special Concerns (allergies, medications, medical conditions, etc) *
Your answer
List of any additional persons picking up your child *
If Parent/Guardian listed above will not be picking up child on one or more days, please list approved alternate(s)
Your answer
Electronic Signature for Section 1 *
By typing your FULL NAME you are stating that the above information is correct and that this is your legal, binding ELECTRONIC SIGNATURE
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service