Registration for Camp Firelight
WELCOME TO CAMP FIRELIGHT!
Your campers adventure is about to begin! Please fill out the following form. We look forward to having your camper with us!
Camper Information
Campers Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date
Age
*
Grade
*
Food Alergies
*
Siblings Attending
*siblings will need to be registered separatly*
Shirt Size
Please Select
Kids Small
Kids Medium
Kids Large
Adult Small
Adult Medium
Adult Large
Adult XL
*only those registered by July 1st will recieve a shirt*
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Parental/Guardian Information
Parent/ Guardian
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
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Emergency Information
Emergency Contact
*
First Name
Last Name
Emergency Phone Number
*
Please enter a valid phone number.
Who is picking up camper?
*
Child will not be released to anyone for check out except for the Parent/Guardian Listed or Person/Persons listed in the above space.
Special Comments
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Parental Consent
I hereby consent to let my child participate in the event VBS: Camp Firelight. It is understood that every precaution will be taken for the safety and well-being of my child, but in the event of accident or sickness, River Of Life Church, its staff and its volunteers are hereby released from any liability.
Parent/Guardian
*
First Name
Last Name
Parent/ Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
By submitting this form, I give consent to River Of Life Church of the child above.
Childs Name
*
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Birth Date
-
Month
-
Day
Year
Date
Should be Empty: