Day Camp Form

Day Camp Form

Day Camp will be held on July 21-25th from 8:30am- 3:30pm. Our camp goes by grade levels and is based off the grade you are currently going into. This year we will have no field trip on the last day and instead stay at Madison Church of God. This year we are excited to announce that we will be capping attendance at 80 allowing for more students to attend! LUNCH AND SNACK ARE PROVIDED.
Parent Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Childs Name
Childs Grade
Child/Children's Birthday
Any Medical Issues/Allergies?
Shirt Size (Please make sure to select either an adult or youth size)
Approved People to Pick Up Students
If anyone specific is not allowed to pick up your child/children please make sure we are informed.
Madison Day Camp Permission Slip

This form must be signed stating you have read and agreed to the terms listed in the permission slip/liability form.
PAYMENT: You can pay cash or check or post payment online. If you are paying with card online please use the secure give link at Madisonchurchofgod.us. Give link is in the right corner, scroll down to choose day camp, $40 per child. YOUR CHILD IS NOT CONSIDERED REGISTERED UNTIL PAYMENT IS RECEIVED. Please add Childs name to the memo/message line when making payment. If you need assistance please reach out to Monica at 850-869-7690.

Permission Slip
The Madison Church of God will be having our Madison Day Camp, July 21st-25th. I give my child/children Type a label* permission to participate in all the activities at the Madison Church of God from July 21-25, 2025. I, First Name* Last Name* , do hereby give my permission and consent for Type a label* to attend and fully participate in the above-described event. Furthermore, I do hereby release, forever discharge, and agree to hold harmless the Madison Church of God, the church staff, and all youth workers from any liability, claims, or demands of any nature which may be incurred by the above described event(s), including but not limited to personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever. My child will be allowed to participate in other active games. I hereby understand that I do not hold Madison Church of God, the Pastor, Church Leaders, or Youth Sponsors accountable for any harm to my child.

Medical Release Form
In the event of an emergency where medical treatment is required, I give my permission to the church staff and youth workers to obtain the services of a licensed physician. Please attempt to notify me immediately concerning any such emergency.
Signature
Should be Empty:

Day Camp Form

Madison Day Camp Permission Slip