Quest for Kids Registration
Please fill out this form. Fees for the Camp are $15 payable on the first day (scholarships are available based on need). Dates are: June 30, July 7, 14, and 21. Time: 9 am to noon.
Participant's First Name
Participant's Last Name
Gender
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Preferred Name for Name tag
Address
City
State
Zip
Cell Phone Number
Email address
Birthday
MM
/
DD
/
YYYY
Last Grade Completed
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Allergies, Medical, or Special requests
Emergency Contact
Emergency Contact Number
Emergency Contact 2 Name
Emergency Contact 2 Phone Number
Authorized to Pick-up (Name(s) of people you authorize to pick-up your child)
May we have permission to photograph your child?
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May we use your child's photograph for church publications?
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