Sports and Arts Camp 2023
Hosted by EFC of Eaton Youth group
May 30 - June 2 9 am - 12 pm
EFC 1325 3rd Street Eaton
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
*
-
Area Code
Phone Number
Alternate Phone
-
Area Code
Phone Number
Email Address:
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Physician Name
*
Physician Phone Number
*
-
Area Code
Phone Number
Relation to Child(ren)
*
Father
Mother
Guardian
Security: is there anyone who your child(ren) should NOT be released to?
Yes
No
Security: Names of anyone who your child(ren) should NOT be released to
Child Information
Name of child
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Biological Gender
*
Male
Female
Age Group: (Grade most recently completed)
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Does your child have any food allergies or medication concerns we should know about?
*
Camp preference
Sports
Art
Register another child?
*
Yes
No
Child Information
Name of child
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Biological Gender
*
Male
Female
Age Group: (Grade most recently completed)
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Does your child have any food allergies or medication concerns we should know about?
*
Camp preference
Sports
Art
Register another child?
*
Yes
No
Child Information
Name of child
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Biological Gender
*
Male
Female
Age Group: (Grade most recently completed)
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Does your child have any food allergies or medication concerns we should know about?
*
Camp preference
Sports
Art
Register another child?
*
Yes
No
Child Information
Name of child
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Biological Gender
*
Male
Female
Age Group: (Grade most recently completed)
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Does your child have any food allergies or medication concerns we should know about?
*
Camp preference
Sports
Art
Register another child?
*
Yes
No
Submit
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