Summerblast 2019 - Online Registration
Calvary Everett Summerblast at Emerson Elementary Mon. July 15 - Thurs. July 18th (2 pm - 6 pm) Dinner is Provided
Email address *
Home Address *
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Drop off/ Pick up person's name
Your answer
Drop off/ Pick up person's phone number *
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Child's First & Last Name: *
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Child's Date of Birth *
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DD
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What grade will your child be in the Fall 2019? *
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Does your child have a friend they are attending with? Please type their name so we can try to keep friends together.
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Does your child need a ride from Garfield Elementary or somewhere else to Emerson Elementary?
What school does your child go to? *
How did you hear about our Summerblast? *
Required
T-Shirt Size (while supplies last) *
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Name of person to call In Case of an Emergency *
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Emergency phone number *
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Medical Conditions that we should know about? If none please write none *
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Allergies *
Required
I, the Parent of above named child, hereby grant the Staff at Calvary Everett the authority to obtain medical treatment if deemed necessary and to use photos taken during this event for promotional purposes. *
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