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HOPE
CHRISTIAN
SUMMER
CAMP
HOPE SUMMER CAMP REGISTRATION FORM
Camper’s Name:
Age:
Date of Birth:
Sex:
Address:
T-Shirt Size:
Apt. #:
Allergies:
Phone #:
City:
State:
Zip:
Current Medications:
Guardian #1 Name:
Guardian #2 Name:
Phone #:
Phone #:
Email Address:
Email Address:
AUTHORIZED PICK UP AND EMERGENCY CONTACT
At dismissal and/or in case of emergency the following people are authorized to pick up my child:
Guardian #1:
YES
NO
Guardian #2:
YES
NO
At least two additional authorized pickups 18 years old and older are required:
1.
Relationship:
Phone #:
2.
Relationship:
Phone #:
3.
Relationship:
Phone #:
4.
Relationship:
Phone #:
HopeSummerCamp_RegistrationForm.pdf (PDF, 1.84 MB)
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