Registration for August Day Camp

PLEASE READ: You MUST agree to the Legal Waiver Release for EACH CHILD in this form. If you do not complete this step for each child on this form, you will be required to fill out a paper version form upon arrival at day camps.
Parent Information
Primary Parent/guardian *
Primary Parent/guardian
Second Parent/guardian
Second Parent/guardian
Emergency Contact Information - This contact will be used if we cannot reach the primary parent.
Emergency Contact *
Emergency Contact
Child Information #1
Child's Name *
Child's Name
Child's Birthday *
Child's Birthday
Do you grant permission for the reasonable use of pictures containing your child in any or all of the following ways: Brochure/Promotional material/Website/Church *
Legal Waiver Release - CHILD #1 *
This box is required to be checked for ALL children.
Child Information #2 (if applicable)
Child's Name
Child's Name
Child's Birthday
Child's Birthday
Do you grant permission for the reasonable use of pictures containing your child in any or all of the following ways: Brochure/Promotional material/Website/Church
Legal Waiver Release - CHILD #2 (REQUIRED)
This box must be checked for ALL children.
Child Information #3 (if applicable)
Child's Name
Child's Name
Child's Birthday
Child's Birthday
Do you grant permission for the reasonable use of pictures containing your child in any or all of the following ways: Brochure/Promotional material/Website/Church
Legal Waiver Release - CHILD #3 (REQUIRED)
This box must be checked for ALL children
Child Information #4 (if applicable)
Child's Name
Child's Name
Child's Birthday
Child's Birthday
Do you grant permission for the reasonable use of pictures containing your child in any or all of the following ways: Brochure/Promotional material/Website/Church
Legal Waiver Release - CHILD #4 (REQUIRED)
This box must be checked for ALL children.