DFMC Day Camp 2019 Registration
Event Timing: Monday - Friday, August 12th -16th, 2019, 9:00am - 12:00 Noon
Event Address:
Dearborn Free Methodist Church
2801 S. Telegraph
Dearborn, MI 48124
Contact us at (313) 561-8774 or children@dearbornfmchurch.org
Day Camp 2019 Theme
Child Name (First and Last) *
Your answer
Child Shirt Size *
Child Birth Date *
MM
/
DD
/
YYYY
Child Last Grade Completed *
Your answer
Child Allergies / Diet Restrictions *
Child Medical Conditions / Alerts
Your answer
Parent/Guardian Name (First Last) *
Your answer
Address *
Your answer
City, State ZIP *
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Email *
Your answer
Emergency Contact (Name, Phone, Relationship) *
Your answer
How did you hear about Day Camp 2019? *
I give my permission for my child to participate in Day Camp 2019 and understand photos will be taken. *
Required
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