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HopeSummerCamp RegistrationForm .pdf


Original filename: HopeSummerCamp_RegistrationForm.pdf
Title: HopeSummerCamp_RegistrationForm

This PDF 1.6 document has been generated by Adobe Illustrator CS6 (Macintosh) / Adobe PDF library 10.01, and has been sent on pdf-archive.com on 10/05/2018 at 23:47, from IP address 12.149.x.x. The current document download page has been viewed 82 times.
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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 #:


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