Art & Music Camp Registration Form
2515 Mitchellville Rd, Bowie, MD 20716
Contact us at (301) 249-6411 or artandmusiccamp@unitedparishbowie.org
Email address
Name of Child:
Your answer
Home Address:
Your answer
Age & Grade (3 years old and potty trained through incoming 6th graders are welcome to attend):
Your answer
School:
Your answer
Name of Parent(s):
Your answer
Parent's contact number during camp:
Your answer
Emergency Contact:
Your answer
Emergency Contact number during camp:
Your answer
Email address(es) for Art & Music Camp information and updates:
Your answer
Allergies and/or Medical Concerns:
Your answer
Tell us a little about your child:
Your answer
How did you hear about the camp?
Your answer
On Sunday, July 30, we will have children (campers) lead worship with an ice cream social afterwards to celebrate the camp. Will your child attend?
T-Shirt Size (Choose One)
Required
I agree to mail a check in the amount of $35 per child prior to the start of camp to: Art & Music Camp Registration, United Parish of Bowie, PO Box 1571, Bowie, MD 20717.
Required
Have Questions?
Disclaimer
By submitting this form, my child (named above) has my permission to join the Art and Music Camp, July 24-28, 2017 at the United Parish of Bowie in Bowie, MD. I understand staff and volunteers will supervise the Art and Music Camp and I hereby release, in advance, the United Parish of Bowie and its Minister, Board Members, employees, and volunteers from any and all liability for any illness or injury that my child may sustain during the camp.
Opt-Out:
United Parish of Bowie Use of Names and Images: While we never publish individual children's names without expressed parental consent, we do publish images of groups of children. In addition, at time, we publish both names and images of individual adults, as well as groups. If you wish to not have any names or images for members of your family published, please contact artandmusiccamp@unitedparishbowie.org to opt-out of further publications.
A copy of your responses will be emailed to the address you provided.
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