Music Camp 2024

Broadmoor Baptist Church Go, Go Jonah 2024 Summer Music Camp - June 3-7 (9 a.m.- 5 p.m
CHILD INFORMATION
Name
DOB
M
F
Address

Address

Street Address Line 2

CityState / Province

ZIP
Phone
Grade in Fall
Does your child have any allergies? If yes, please explain. Is your child on any medications? If yes, please explain.
If yes please explain
FAMILY INFORMATION
Name
Address
City
ZIP
Home Phone
Cell Phone
Work Phone
Email
example@example.com
Preferred method of contact
Employment
Hours
Church Attending
Name
Address
City
ZIP
Home Phone
Cell Phone
Work Phone
Email
example@example.com
Preferred method of contact
Employment
Hours
Church Attending
EMERGENCY INFORMATION
Doctors Name
Phone
Doctors Name
Phone
Persons to call in case of emergency (other than parents) Name
Name
Phone
Name
Phone
Will your child participate in the performance on the 7th at 7 p.m.?
Will your child need early care? Yes($5 per child per day. Begins at 8:00 a.m
Yes or No
Youth T-shirt Size

SMLXL
Can pay in the church office or by bringing money on the first day.
Should be Empty:

FAMILY INFORMATION