Creative Arts Bible Camp Registration

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Creative Arts Camp

K-6 Creative Arts Bible Camp Registration Form

Personal Information

Name of Camper*

Date Of Birth (DD/MM/YYYY)*

School Grade Completed*

Height (inches)*

Parent or Guardian's Name(s)*

1st Phone Contact*

2nd Phone Contact

Parent's Email (May enter multiple emails separated by a semicolon)*

Parent's Address

Does your child have food allergies* Yes No

If 'Yes' please list:

Does your child carry an Epi-pen* Yes No

Will your child be taking any medication during camp hours?* Yes No

Creative Arts Track Selection

Please indicate your child's first, second and third choice for the Arts Track:

First Choice*

Second Choice*

Third Choice*

Fourth Choice*

Signature and affirmations

Please check the boxes to indicate your agreement with each of the following items. If you have not read the Parental Consent or the Parent and Camper Pledge, click here to open the paragraphs in a new tab. After you read the paragraphs close that tab to return to your partially completed form.

I have read and agree with the Parental Consent Statement*

My camper and I have read and agree with the Camper and Parent Pledge*

Parent's Signature (typed)*

Permissions Section

Photo-Release Permission* Yes No

Transportation Permission* Yes No

Parent's Signature (typed)*

Thank you for submitting this form. You will be contacted shortly to confirm your registration.

WEBC Site Administrator

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