Adventure Kids Camp (March.19th)
March Break Adventure Camp is for children in Grade Primary to Grade 5 who are ready to go on an ADVENTURE! This “choose your own adventure” camp is designed for students to choose the adventure they want to embark on! There will be a mix of large group times, Bible adventures, games, crafts, science experiments, snacks & much More!! The cost is FREE. *Kids need to bring their OWN lunch! (snacks provided)

Kids Sign-up for their adventures at the door!
Registration also available at the door.

Drop-off - 8:45-9am @ Middleton Baptist Church, School Street Entrance
Pick-up - 4:30pm @ Middleton Baptist Church, School Street Entrance


If you have any questions or concerns please feel free to contact me: Lindsay Locke at lindsaykathrynlocke@gmail.com or 506.567.3402

Our policy : precautions will be taken for the safety and health or your child, bun in the event of an accident or sickness, Middleton Baptist Church, their staff and volunteers, are hereby released from any loss, personal injury, or damage to the name participant on this form or his.her property. If in the event that your child requires medical services, special medications, x-rays or treatment, the parent/guardian will be notified immediately by the phone numbers listed above. *Your child must be covered by Provincial Health Insurance or equivalent medical insurance.
Parent/Guardian Name *
Your answer
Child's Name *
Your answer
Age *
Grade in School *
Parent/Guardian Phone Number *
Your answer
Parents/Guardian E-mail *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Health Card # and Expiry *
Your answer
Does your child have any medical conditions/illness (ie. diabetes, epilepsy, asthma, etc.) Or any severe/life threatening allergies (ie.bee stings, food, medication, etc.)? *
Your answer
Does your child have any physical, emotional, mental or behavioural concerns or limitations that we should be aware of? *
Your answer
Photo Permission *
Are there any special custody arrangements that we need to be aware of?
Your answer
Who do you give Permission to pick up your child from the Camp? *
Your answer
Parent/Guardian Signature: *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy