Reaching Out to the Community (6th-8th Grades)
Incoming 6th Graders - Exiting 8th Graders
Monday, June 25 - Friday, June 29
8 AM - 5 PM (Program run time 9 AM - 4 PM)
Student Name (Please share the name your child prefers to use.)
Grade for 2018-19 School Year
Parent/Guardian Phone #
Student Cell # (if applicable)
Student's Mailing Address
Student's Email (if applicable)
Student's T-Shirt Size
Does your youth have any special physical or medical circumstances/needs of which we should be aware? (conditions, seasonal and/or food allergies, etc.)
Is there anything we should know to help us offer your youth the most positive and productive experience possible? (i.e. special learning needs, school accommodations, etc.)
Do we have your permission to photograph or video tape your youth?
Do we have your permission to share your youth's image or voice publicly on the following formats (please check all that apply):
Church Facebook Page
Church Newsletter (email and paper format)
Posters/Flyers for future camps/programs
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service