Sunset Camp Registration
June 24-27, 2024
Camper's Information
Camper Name
*
Date of birth
*
-
Month
-
Day
Year
Date
Age
*
Entering Grade in 2024/25
*
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Other
Medical / Health Information
Does your child have any food, medication or environmental allergies?
*
Yes
No
Please list and explain any allergies
0/150
Does your child have a special health or medical condition?
*
Yes
No
Please explain
0/150
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Add a second camper?
Yes
No
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Second Camper's Information
Camper Name
*
Date of birth
*
-
Month
-
Day
Year
Date
Age
*
Entering Grade in 2023/24
*
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Other
Medical / Health Information
Does your child have any food, medication or environmental allergies?
*
Yes
No
Please list and explain any allergies
0/150
Does your child have a special health or medical condition?
*
Yes
No
Please explain
0/150
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Add a third camper?
Yes
No
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3rd Camper's Information
Camper Name
*
Date of birth
*
-
Month
-
Day
Year
Date
Age
*
Entering Grade in 2023/24
*
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Other
Medical / Health Information
Does your child have any food, medication or environmental allergies?
*
Yes
No
Please list and explain any allergies
0/150
Does your child have a special health or medical condition?
*
Yes
No
Please explain
0/150
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Caregiver information
Parent/Guardian
*
First Name
Last Name
Relationship to Child
*
E-mail
*
example@example.com
Cell Phone
*
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Emergency Contact & Authorized Pickup
Please list a non-parent to contact in an emergency and who is authorized to pick up your child/ren.
Full Name
*
First Name
Last Name
Primary Phone Number
*
Format: (000) 000-0000.
Relationship to Child
*
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Waiver
I understand that, in the event medical treatment is required, every effort will be made to contact me. However, if I cannot be reached, I give my permission to the staff or volunteers to secure the services of a licensed physician to provide the care necessary, including anesthesia for my child's well-being.
*
Type first and last name above to consent
I understand that my child(ren)’s participation in this camp can expose them to risks both from known and unanticipated. Acknowledging that such risks exist, I hereby release and Sunset Ridge Church of Christ, its employees and volunteers from any and all claims or liability for personal injury or property damage my child(ren) may suffer while participating in camp activities; including, but not limited to, any claim arising out of any condition of the premises at which the activity is held or the conduct of any person in connection with the preparation for, supervision of, or conduct of any activity, whether planned or unplanned. I specifically agree to release and hereby release Sunset Ridge Church of Christ and the employees and volunteers of the camp for any negligence of the camp, or its employees and volunteers.
*
Type first and last name above to consent
Sign Document
*
Date Signed
*
-
Month
-
Day
Year
Date Picker Icon
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