2017 Summer Blast Registration
Register for Kentwood Baptist Church's free summer sports and arts camp here! Please fill out the information below and select SUBMIT at the bottom of the form. Please fill out a separate form for each child in your family. Thank you!
Child's First and Last Name
Your answer
Address (Including City, State, and Zip)
Your answer
Age of Student
Your answer
School Grade this Fall
Gender
Home Phone Number
Your answer
Emergency Phone Number
Your answer
Emergency Contact Name and Relationship
Your answer
Please List Any Allergies (if none, please write NA)
Your answer
Are there any other concerns we should be aware of?
Your answer
Please list all people who are permitted to pick up your child from the camp. Please include their relationship to the participant as well. (For example: Jane Doe - Grandmother)
Your answer
Which activity will your child be participating in this year?
1st-6th grade students should choose one of the sports/art below. NEW THIS YEAR: Students in 6th - 8th grade may attend as campers, but must select the 'Middle School' option below. 6th graders will have the option of selecting a sport/art OR being a part of the middle school group which will do different activities each day.
PARENT OR GUARDIAN: Please sign below by typing your full name in the space provided. By signing this form, you permit your child to participate in a sport or art at Summer Blast Sports and Arts Camp, to be taught age-appropriate lessons from the Bible, consent to have your child photographed for camp promotion, and release Kentwood Baptist Church from liability at and en route to/from camp.
Your answer
Submit
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