COMPASSION CAMP REGISTRATION
Register up to 3 children here for our mission camp. Meets on three Sundays in July from 4pm-7pm and for our food packing event on the last Sunday of July.
Name - Child #1 *
Your answer
Child's Age *
Grade Completed *
Does your child have any medical conditions, allergies, or special needs we need to be aware of? *
Your answer
Please check which nights of Compassion Camp this child will attend: *
Required
Name - Child #2
Your answer
Child's Age
Grade Completed
Does your child have any medical conditions, allergies, or special needs we need to be aware of?
Your answer
Please check which nights of Compassion Camp this child will attend:
Name - Child #3
Your answer
Child's Age
Grade Completed
Does your child have any medical conditions, allergies, or special needs we need to be aware of?
Your answer
Please check which nights of Compassion Camp this child will attend:
Parent/Guardian Name *
Your answer
Contact Email *
Your answer
Cell Phone (Please list # that we can use to contact you while your children are with us) *
Your answer
Home Address *
Your answer
Emergency Contacts (Please list 2 names & numbers we can reach if you cannot be reached) *
Your answer
Carpool Arrangements (Please list the names of those who are allowed to pick up your children)
Your answer
Please list the names of anyone who is NOT allowed to pick up your children:
Your answer
Medical Release - Please check below if you agree to the following: I, the parent or guardian, grant permission for the above named to attend Summer Splash at Grandin Court Baptist Church. In the event of an emergency where medical treatment is required, I give permission to the event staff to secure proper treatment for the health and comfort of my child. I understand that I or the emergency contact person will be notified immediately concerning any such emergency. I hereby release and discharge the adult leaders, event staff and Grandin Court Baptist Church from any and all debts, judgments or suits of any kind that may arise by my child's participation in this event. Payment of any medical expenses will be paid by me or by my insurance company. *
Required
ADULT VOLUNTEERS: Are you able to help at one of our Compassion Camp nights? Please check how you would like to help:
Additional Comments
Your answer
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