Ash Bible Camp Registration Form
Sign in to Google to save your progress. Learn more
Name of Parent or Guardian *
Address *
Phone *
Email *
Emergency Contact Name (other than yourself) *
Emergency Contact Phone Number *
Names and ages of children attending
Please list each child's first and last name and then their age beside their name.
Example:
John Smith - 5
Jeff Smith - 8
Jennifer Cox - 6
Kim Cox - 10
 *
Can anyone other than yourself pick up your child or children? *
If others can pick up children, please list names. If no one else is allowed to pick them up, please type NONE. *
Please list any food allergies. If none, please type NONE. *
Do we have permission to photograph your child for possible publication on the Ash Baptist Church Website? (www.abc1616.org) *
Please list name and t-shirt size for each child you are registering. *
Do you have a church home? *
If you answered yes to church home, please list the name of your church.
Disclaimer
I understand and acknowledge that the activities of Ash Bible Camp include some physical activity. As a participant my child/children may engage in these activities. During the activities, since sometimes accidents are unavoidable, it is possible to have injuries. This document acknowledges that you, the parent or guardian, will not hold Ash Baptist Church or its volunteers responsible for any injury to your child during Ash Bible Camp.
 *
Please type your name as your signature for registering your child/children for Ash Bible Camp. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms