Kids Camp 2026

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Parent/Guardian Name

*

Email

*

This address will receive a confirmation email

Address

*

Phone

*

Child 1

Child name

*

Last Grade Completed

*

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th Pre-K

Birthday

*

Any allergies?

*

Do we have your permission to take a picture of your child for video to be shown to the church on a Sunday morning?

*

Please select one option.

Yes No

Child 2

Child name

Last Grade Completed

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th Pre-K

Birthday

Any allergies?

Do we have your permission to take a picture of your child for video to be shown to the church on a Sunday morning?

Please select one option.

Yes No

Child 3

Child name

Last grade completed

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th Pre-K

Birthday

Any allergies?

Do we have your permission to take a picture of your child for video to be shown to the church on a Sunday morning?

Please select one option.

Yes No

Authorization /Emergency Contact Info

List the name(s) of anyone you officially authorize to pick up your child and their contact information:

*

Please provide 2 emergency contacts names and phone numbers other than parent/guardian:

*

Any additional questions of information you'd like us to know?

Description

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