Music & Arts Camp Registration

Child's Name:

Gender:

Birthday:

Grade Completed:

Child's T-shirt Size ($10/child)*:

Parent/Guardian

Address

Phone:

Email:

Emergency Contact

Relationship to the Child

Phone:

Who Can Pick Up Your Child?

Name of Church You Attend:

Any Food Allergies?

If Yes, List Allergies:

Medical Concerns:

If Yes, Please Explain:

Do We Have Permission to Photograph Your Child?

May we have permission to use your child’s photograph for the purpose of promotion?

How Did You Hear About Camp?

*T-shirt Payments can be paid on our home page or by cash or check made out to "First Baptist Church"