Sit Registration 2024

108 N State Street

Greenfield, IN 46140

317-318-2230

Parking in back

Camp fee is by donation
My child will be attend the following camp(s)
Participants Name
Street Address
City State Zip
Birthdate

MonthDayYear
Date
Phone Number
Format: (000) 000-0000.
Email or Text Number
example@example.com
I give my permission for my child (named above) to

with Bentley's Buddies and Friends on

I understand that my child will be supervised by BBF staff during this event. I hereby release the sponsoring organization and all its members from any liability or claims as well as damages or injuries which may occur at this event.
ParentsGuardian Signature
Emergency Contact
Relation to child
Phone
Format: (000) 000-0000.
Allergies
Child may be released to the following person with ID
Name

First NameLast Name
Should be Empty: