SWCC Day Camp Registration
Fill this out completely and submit to register your child for Day Camp. This is for completed 1st grade - completed 5th grade. Drop off and Check-in begins at 8:30 am on Saturday, June 8th and pick up is at 2:30 pm. Your children will be outside all day and will need sun protection and closed-toed shoes for morning activities. Your child may get dirty, please do not allow them to wear good clothes. Please send shorts, shirt, and towel for afternoon water activities. It is very important you list any allergies for your child.
Child's First and Last Name *
Your answer
Child's T-shirt Size *
Child's Current School Grade *
Contact Parent or Grandparent Name *
Your answer
Contact Person's Emergency Phone # *
Your answer
Who is allowed to pick up child? *
Your answer
Is there someone that is NOT allowed to pick up child? If so, please list name. *
Your answer
Please List any allergies; if none please put N/A *
Your answer
Are we allowed to use sunscreen on your child? *
Anything else you would like us to know about your child? *
Your answer
By typing your name here as parent and/or guardian of Child listed above, I hereby give the said minor my express permission to participate in church-sponsored events and functions of Still Waters Cowboy Church at any time. In the event that arises an emergency necessitating emergency medical or surgical attention, I hereby consent and give permission to Still Waters Cowboy Church, or its representatives, and any attending physician to make such decisions and to perform such medical or surgical treatment upon aid minor, which in their sole discretion, may be reasonable and necessary under the circumstances. I, the undersigned parent and/or guardian of said minor, do release, acquit, discharge, and covenant to hold harmless the said Still Waters Cowboy Church or its representatives from an and all actions, damages, and/or liabilities arising out of the treatment of any sickness or accident incurred by said minor. It is the intention of this release that Still Waters Cowboy Church and its representatives incur no liability whatsoever while attending to the reasonable and necessary treatments, surgery, and other medical needs that may in their sole discretion be needed by said minor. Please type name below. *
Your answer
Please type your name releasing any pictures of your child from Day Camp to be used by Still Waters Cowboy Church. *
Your answer
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