2018 Incredible Kidz Camp Participant Registration
July 30-August 3 9:00 am -12:00 pm for kids who have completed 1st through 5th grade
Child's First Name *
Your answer
Child's Last Name *
Your answer
Last Grade Completed *
Address *
Your answer
City *
Your answer
State *
Zip Code
Your answer
Parent's Name *
Your answer
Phone *
Your answer
Alt. Phone
Your answer
Emergency Contact Name *
Your answer
Emergency Phone *
Your answer
Relationship to Child *
Your answer
Please list any food allergies. *
Your answer
Special needs we need to be aware.
Your answer
Church affiliation
Your answer
Permission to photography child for church use only. *
Names of people other than parent that can pick up child.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms