Kids Day Camp 2022

Kids Day Camp 2022
This event is Aug.1st - 5th from 5:30 p.m. - 8:00 p.m. (dinner will be provided.) This event is for children ages 4yr olds - 6th grade. This is a FREE EVENT! We will NOT be offering bus transportation this year.
Child's Full Name*
Child 2 Full Name
Child 3 Full Name
Child's Address*
Child's Date Of Birth*
Child 2 Date of Birth
Child 3 Date of Birth
Grade Going Into*
Child 2 Grade
Child 3 Grade
Phone Number*
Parent or Legal Guardian*
Parent or Legal Guardian Email Address*
Emergency Contact Person Name*
Emergency Contact Phone Number*
Allergies (especially to food) SPECIFY WHICH CHILD
Other Helpful Info. (medication, activity restriction, etc.) SPECIFY WHICH CHILD
Would your child(ren) like a Kids Day Camp T- Shirt? Cost is $5 (Payment can be made during the week of camp.)*

YesNo
If yes, which sizes?

Youth XS( 2-4)Youth Sm( 6-8)Youth M(10 -12)Youth L(12-14)Adult Sm.Adult Med.Adult Lg.Adult XL
I grant permission to Emmanuel Christian Church to use my child's image for promotion and/or other purposes.*

YesNo
What church do you attend? (If you don't attend a church please put none.)*
Email
example@example.com
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