Freedom Baptist Church Day Camp 2019
Day Camp will be held on Monday, Tuesday, Thursday, Friday the week of June 24-28.

There is a $25 fee per child to help cover cost of food, snacks, T-shirts, and travel.

Child's First Name *
Your answer
Child's Last Name *
Your answer
Address *
(ex. 123 Easy St, Rural Hall NC 27045)
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Emergency Contact Name *
Your answer
Food, Drug, or Other Allergies
Your answer
Emergency Contact Number *
Your answer
Persons Authorized to Pick Up Child *
Your answer
Grade Entering August 2019 *
T-Shirt Size *
Child's Swimming Level *
Special Notes / Instructions
Your answer
*
By signing this registration form, I give permission for my son/daughter to attend Day Camp at Freedom Baptist Church. I also give permission for my son/daughter to participate in all activities, including swimming at an off-site location, during their camp time. In the event of injury, I release Freedom Baptist Church from any claim. I give permission for the person in charge to seek medical services, if needed.
Required
*
Photos of my child taken during this activity of my child may be used on the church website and social media sites.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service