Music Camp 2025

Broadmoor Baptist Church Rescue in the Night 2025 Summer Music Camp - June 2-6 (9 a.m.- 5 p.m)
CHILD INFORMATION
Name
DOB
M
F
Address

Address

Street Address Line 2

CityState / Province

ZIP
Phone
Format: (000) 000-0000.
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
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Email
example@example.com
Preferred method of contact
Employment
Hours
Church Attending
Name
Address
City
ZIP
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Email
example@example.com
Preferred method of contact
Employment
Hours
Church Attending
EMERGENCY INFORMATION
Doctors Name
Phone
Format: (000) 000-0000.
Doctors Name
Phone
Format: (000) 000-0000.
Persons to call in case of emergency (other than parents) Name
Name
Phone
Format: (000) 000-0000.
Name
Phone
Format: (000) 000-0000.
Will your child participate in the performance on the 6th 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
SMLXL
Can pay in the church office or by bringing money on the first day.

Cost: $175 for first child, $125 for each additional child
Should be Empty:

FAMILY INFORMATION