Project 61 Kids Registration 2022

Project 61 will be Tuesday, June 6th - Thursday, June 9th, from 10:30-2:30, at the Rose Bowl. Campers must be entering 1st-9th grade.

ONLY A PARENT OR GUARDIAN CAN COMPLETE THE REGISTRATION FORM.
Camper's Information
Camper's Name*

First NameLast Name
T-Shirt Size*
School*
Race/Ethnicity*

BlackWhiteLatinxNative AmericanAsianNone of these describe me
Campers must be at least 6 years old and entering 1st grade to attend camp.
Camper's Birthdate

MonthDayYear
Date
Which group is the camper in?
Grade is the grade the camper is entering for the 2023-2024 school year.
Please list any of the following: current medications, medication allergies, food allergies, behavioral needs, chronic health concerns, or anything else we should know about this camper.
Street Address*
City
State
Zip Code
Eligible for free or reduced lunch*

YesNo
Primary language the child speaks:*

EnglishSpanishOther
How many adults live in the home*
Transportation will be provided from the parking lots of the following locations. Space is limited.

Pick up time will be approximately 10 AM and drop off time will be approximately 3:00 PM.

PLEASE SELECT SELF TRANSPORT IF YOU ARE WALKING OR DO NOT NEED TRANSPORTATION.
Parent/Guardian Information
Parent/Guardian Name*
Does the camper have your permission to walk home from the Rose Bowl?*

YesNo
Transportation Information*

Self-TransportAutumn RidgeCrossings At Oakbrook/Sierra PointeMidtown Park ApartmentsMadison Park ApartmentsMeadowbrook ApartmentsShoreline ApartmentsWoodcreek ApartmentsCrossings at 66Duplexes/ATC Apartments on 73rd E AveFiesta ApartmentsMcKinley Elementary Parking LotMonterey ApartmentsCove on MemorialThe Woods at 79thHideaway CoveMitchell Elementary Parking LotAddison ApartmentsThe MeadowsKidstownBell Elementary Parking LotMitchell Elementary Parking LotLindbergh Elementary Parking LotVintage at 66
Who do you authorize to pick up the camper? (Include your own name!) Please list the names of the parents/guardians, emergency contacts, and anyone else who may pick up the camper from Project 61. ANYONE PICKING UP A CAMPER WILL BE REQUIRED TO SHOW PHOTO ID. PLEASE BRING YOUR ID WITH YOU WHEN YOU COME INSIDE FOR PICKUP.*
Primary Phone Number*
Secondary Phone Number
Email Address
Emergency Contact 1 In the event of an emergency, please contact:
Full Name*
Primary Phone Number*
Secondary Phone Number
Emergency Contact 2 In the event of an emergency, please contact:
Full Name
Primary Phone Number
Secondary Phone Number
I parent/guardian of the above-mentioned camper, give my permission for him/her to participate in Project 61 and I release the One Hope staff and volunteers from liability in the case of any kind of injury or harm that could occur during or due to my child"s participation. I authorize the One Hope staff and volunteers to give my child emergency medical care and to transport him/her to and from places where such care can be provided and to authorize such care as they deem necessary. I also give permission for my child to be transported to and from One Hope"s programs including Project 61 and to and from events, activities, and field trips associated with One Hope, formal or informal. Further, I agree to abide by the policies of One Hope in relationship to Project 61 and other One Hope events and activities. I also give my consent for One Hope staff or persons given permission by One Hope staff to use photos, videos, stories, and/or audiotape that feature or include my child and to use work done by my child as well as my child"s first name for the purpose of publicizing and promoting One Hope Ministry. I understand that these images, text, or recordings maybe be published in newspapers, magazines, or on the internet, may be broadcast on television or radio, may be utilized in One Hope fund raising efforts and/or may be presented in One Hope information or promotional materials or presentations or used however One Hope sees fit.
Please check here to indicate that you agree to these terms and conditions.*

Yes, I fully agree.
Contact us at onehopetulsa@gmail.com or call/text our camp staff at

918-954-4147 if you have any questions.
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