Splash Camp Registration
BOYS & GIRLS AGE 3 – ENTERING 6TH GRADE
LUNCH PROVIDED Plan to get WET!!!
BRING A TOWEL, HAT & SUNSCREEN
Names
Child's first name (required) *
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Child's last name (required) *
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Parent's first name (required) *
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Parent's last name (required) *
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Age
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Grade in Fall 2018
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Home Church:
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Street Address *
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City *
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State *
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Zip Code *
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Your phone number (required) *
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Your email (required) *
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Emergency contact name (required) *
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Emergency contact phone number:
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Does your child have any food and/or sunscreen allergies?
Please list any allergies your child has below:
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How did you hear about Splash Camp?
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This form was created inside of Hill Country Church.