Registration Form
Cameron FBC Girls Overnighter
Child's Name (first and last) *
Your answer
Grade in School *
Age *
Mother's Name (first and last) *
Your answer
Mother's Phone Number *
Your answer
Mother's Address (street, city, state) *
Your answer
Father's Name (first and last) *
Your answer
Father's Phone Number *
Your answer
Father's Address (street, city, state) *
Your answer
Emergency Contact (other than parents) *
Your answer
Emergency Phone Number *
Your answer
Medical conditions to be aware of:
Your answer
Bedtime fears/issues to be aware of:
Your answer
Do you plan to attend with your child? *
Who will be picking up your child on Saturday morning by 10 a.m.? *
Your answer
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