CSI Day Camp Registration

Crime Scene Camp Registration Form

In this camp, the students will learn about crime scene investigations, and they will complete crime scene activities.
Camp Information:
- Program Title: Crime Scene Day Camp
- Cost: $0.00
- Dates: 6/25/2025 , 7/23/2025
- Time: 8:00 am to 1:00 pm
- Location: 220 N Fulton St., Salisbury, NC 28144 (old YMCA building that belongs to First Baptist Church)
- Age Range: 11-15 year-olds
- Maximum Capacity: 25 children per day (50 total)
There will be a lunch provided.
Participants Name*

First NameLast Name
Email Address*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Work Phone
Home Phone
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Gender
Age*
Grade*
School Name*
Shirt Size (Specify Adult or Child Size)*
Which camp day would you like to register for?

June 25July 23
The following people are authorized to pick my child up from the program:
Person 1 Name*

First NameLast Name
Person 1 Phone Number*
Please enter a valid phone number.
Person 2 Name

First NameLast Name
Person 2 Phone Number
Please enter a valid phone number.
MEDICAL/EMERGENCY CONTACT INFORMATION
Conditions/Medications
In case of emergency, transport to:*
In case of an emergency please contact:
Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Home Number
Work Phone
In considerations of my participation in the above mentioned Salisbury Police department program or activity (including traveling). I hereby discharge and release the City of Salisbury, the Police Department, and any and all employees of the agents thereof all claims of any kind or nature whatsoever arising out of the actions of the above said employees or agents to the extent allowed by law. I have informed the Police Department’s staff of any physical conditions that may hinder my participation in the program /activity. I understand, acknowledge and consent that my photograph, likeness or image may be displayed for advertising purposes without further compensation or notice.
Name of Parent/Guardian*

First NameLast Name
Birth Date of Parent/Guardian*

MonthDayYear
Date of Registration*

MonthDayYear
Parent Guardian Signature*

Clear

Crime Scene Camp Registration Form

MEDICAL/EMERGENCY CONTACT INFORMATION

Hold Harmless Agreement