Music & Arts Camp Registration

Music & Arts Camp Registration

Registration Form (one per child):

Child's Name:

Gender:

Birthday:

Grade Completed:

Child's T-shirt Size:

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:

300 S. Irby Street
Florence, SC 29501
(843) 662-9451
fbcflorence.org

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