Pass It On Camp

Camp Registration Form

These forms are required for your children to attend camp.
Camper's Information
Camper Name*
T-Shirt Size
Date of Birth*

MonthDayYear
Age
Gender

MaleFemale
Phone Number

Area CodePhone Number
Email
example@example.com
School Name
Current School Grade
NOTE - Campers need to have completed Kindergarten before they are eligible to participate in our day camp.
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.
Ethnicity Information
Ethnicity of the camper
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
Second Emergency Phone Number*
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?*

YesNo
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Field Trip Consent
As the parent or legal guardian, I certify and affirm that I have been completely and thoroughly informed that by attending this camp my child will attend Field Trips. I do not need to be informed of each and every activity or the Programs as I have a sufficient understanding of their general structure.

I desire and do consent for my child to participate in the Field Trips with Pass It On. I consent to allow my child to be transported to and from the Pass It On Camp. I personally assume, on my child's behalf, all risk in connection with said Programs for any harm, injury, or damages that may befall my child as a result of my child's participation, whether foreseen or unforeseen, and I still wish to allow my child to proceed with the Program and Field Trips.

By consenting below and signing this document, I acknowledge that if anyone is hurt or property is damaged during my child's participation in these activities, I may be found by a court of law to have waived my right to maintain a lawsuit against Pass It On or Marantha Church on the basis of any claim from which I have released them herein.

I have fully informed myself of the contents of this PARENTAL CONSENT AND RELEASE FOR ALL ACTIVITIES by reading it before I consent. I warrant that I possess all the rights, powers, and privileges of a parent or legal guardian necessary to execute this document with binding legal effect.
Field Trip Consent and Release*

I have read the above and YES I want my child to participate in the Field Trips.I have read the above and NO I do not want my child to participate in the Field Trips

Disclaimers

and Signature
Sign Document*
Date Signed*

MonthDayYear
Should be Empty:

Camp Registration Form

Camper's Information

Ethnicity Information

Parents' Information

Medical / Health Information

Additional Medication

Field Trip Consent

Disclaimers