CCFCIV - 2024 Kids Summer Camp

Chinese Christian Family Church Inland Valley

8619 Baker Ave, Rancho Cucamonga, CA 91730

Kids Summer Camp 2024

Mon, Wed & Fri
July 29, July 31, & Aug 2 6:00 pm - 8:30 pm

For children entering 1st-6th grade

Campers will be learning volleyball, arts, crafts and music!
Thank you for registering! First, tell us about yourself!
Parent/Guardian Name:*
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name of home church, if any:
How did you hear about CCFCIV's Kids Summer Camp program:
We enjoy capturing all of the fun that your campers will experience during the course of the week with photographs and short video clips. May we have your permission to capture your child's camp week? Images may be used for CCFCIV's end of camp slide show and CCFCIV's website: www.ccfciv.org.*

Yes, I give permission for my child's photo to appear on the slide show and websiteNo, my child's photo may not be used
Language Used
Liability and Medical Release Form
Please let us know about special instructions regarding any of your children including allergies that we should be aware of below:
If this section is left blank, we assume no special instructions for any child listed with this registration
My child(ren) may participate in all Chinese Christian Family Church, Inland Valley (CCFCIV) Kids Summer Camp 2024 events. As a parent or guardian, I authorize adult volunteers of Chinese Christian Family Church, Inland Valley as agent(s) for the undersigned, to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic or hospital.

I also agree that I will immediately notify Chinese Christian Family Church, Inland Valley, in writing, of any changes to the information above, medical or otherwise. I hereby release Chinese Christian Family Church, Inland Valley, any of its ministry leaders, and its sponsors of any legal responsibilities and liability in the event of an accident or injury en route, during and returning from Chinese Christian Family Church, Inland Valley (CCFCIV) Kids Summer Camp 2024 events.

As a parent or guardian, I have carefully and truthfully provided all the information requested and give my permission for my child(ren) to participate in Chinese Christian Family Church, Inland Valley (CCFCIV) Kids Summer Camp 2024 events. My child(ren) and I understand that he/she will be expected to obey the rules, regulations and policies of Chinese Christian Family Church, Inland Valley (CCFCIV) Kids Summer Camp 2024 events.
Parent/Guardian Signature*

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Tell us about your camper!
1st Camper's First Name:*
1st Camper's Last Name:*
1st Camper's Date of Birth:*

MonthDayYear
Date
1st Camper's Gender*

MaleFemale
1st Camper's Incoming School Grade for Fall, 2024*
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2nd Camper's First Name:*
2nd Camper's Last Name:*
2nd Camper's Date of Birth:*

MonthDayYear
Date
2nd Camper's Gender*

MaleFemale
2nd Camper's Incoming School Grade for Fall, 2024*
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3rd Camper's First Name:*
3rd Camper's Last Name:*
3rd Camper's Date of Birth:*

MonthDayYear
Date
3rd Camper's Gender*

MaleFemale
3rd Camper's Incoming School Grade for Fall, 2024*
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4th Camper's First Name:*
4th Camper's Last Name:*
4th Camper's Date of Birth:*

MonthDayYear
Date
4th Camper's Gender*

MaleFemale
4th Camper's Incoming School Grade for Fall, 2024*
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5th Camper's First Name:*
5th Camper's Last Name:*
5th Camper's Date of Birth:*

MonthDayYear
Date
5th Camper's Gender*

MaleFemale
5th Camper's Incoming School Grade for Fall, 2024*
You're almost done! Make sure to click SUBMIT to complete your registration.
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Chinese Christian Family Church Inland Valley

Thank you for registering! First, tell us about yourself!

Liability and Medical Release Form

Tell us about your camper!