Summer Camp Registration 2024

Bulldog Summer Camp Registration Form 2024 June 3-Aug 9

These forms are required for your children to attend camp.
Camper's Information
Camper Name*
Nickname
Date of Birth

MonthDayYear
Sex

MaleFemale
Entering Grade in fall*
T-Shirt Size Camper
* Must enroll for 3 sessions to receive a camp t-shirt
Camper Swimming Ability*

Non-SwimmerBeginner Swimmer (can swim on front 20ft without flotation)Advanced Swimmer (can pass swim test)
Session Attending*

Session 1 June 3-21Session 2 June 24-Jul 12Session 3 July 15-Aug 2Extended Camp August 5-9
Comments
First Day at Camp*

MonthDayYear
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.

Insurance Company blanks Phone Numberblank
Parents' Information

Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
E-mail*
Cell Phone*
Home Phone
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would you like to be reached while your child is at camp?*

Cell PhoneWork PhoneHome Phone
Parent/Guardian 2
Parent/Guardian 2

First NameLast Name
Relationship to Child
E-mail
Cell Phone
Home Phone
Home Address Same as Parent/Guardian 1?

Yes
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Work
Parent's Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would parent/guardian 2 like to be reached while your child is at camp?

Cell PhoneWork PhoneHome Phone

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Secondary Phone Number*
Relationship to Child*
Emergency Contact #2
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Secondary Phone Number*
Relationship to Child*

Assumption of Risk and Release
Brentwood Baptist Christian Academy has permission to secure emergency transportation for my child in the event of an illness or injury which requires emergency treatment. The emergency transportation service will determine the facility to which my child will be transported.*
Type first and last name above to consent
Acknowledgement of Policies and Procedures I have reviewed and received a copy of the center's policies and procedures/handbook.*

YesNo
Financial Agreement Form

https://brentwoodbapt-my.sharepoint.com/:w:/g/personal/onedrive_brentwoodbapt_onmicrosoft_com/EeWvlUuHbmBGnaM2mdaHRN8BJTY9D06lQpNNYX4hn3kO6A

Rate sheet:

https://brentwoodbapt-my.sharepoint.com/:w:/g/personal/onedrive_brentwoodbapt_onmicrosoft_com/Eek-2yBFPLlIo7E1O4yj26YBgOoesrFE4HIAhR2INh2aGg

Theme Week:

https://brentwoodbapt-my.sharepoint.com/:w:/g/personal/onedrive_brentwoodbapt_onmicrosoft_com/EUtPZHTZEuhMoxzX5qfGKFEBXZ4atSnf5GQEXI65uOn2vw

Field Trip Schedule:

We are still working on the fieldtrip schedule
Financial Agreement form (completed)

Browse Files
You can upload your completed financial agreement here, or drop off to office. Cancelof
Sign Document*
Date Signed*

MonthDayYear
Should be Empty: