Kids Camp 2017

 
 

June 5-8, 2017 from 6-8PM at Cassidy Elementary School


 

Registration FORm

Child Info
Child's Name *
Child's Name
Birthday *
Birthday
Grade in school for Fall 2017 *
Parent or Guardian Info
Your Name *
Your Name
Address *
Address
Primary Phone *
Primary Phone
Emergency Contact
(other than a parent)
Name *
Name
Phone *
Phone
Guest Information
I would like my child to be in the same class as the family who invited us
Medical Release
MEDICAL RELEASE: It is my understanding that in the event of a medical emergency involving my child, every attempt will be made to reach me or the Emergency Contact Person I have listed on this form. If the church cannot reach me, then I authorize Tates Creek Presbyterian Church to employ a doctor or other healthcare professional, and I hereby give my permission to provide medical services that are deemed necessary. I understand that checking this box represents authorization of this Medical Release. *
PHOTOGRAPHY RELEASE
PHOTOGRAPHY RELEASE: It is my understanding that TCPC may use photographs which include my child in future promotional materials on the TCPC website, Facebook page, and brochures. I understand that checking this box represents authorization of this Photography Release. *