Kids Mini cooking Camp Registration Form

Kids Mini baking Camp Registration Form

Do you have a child who loves to cook and bake in the kitchen? Have they been begging you to teach them to bake? This mini camp will add several delicious desserts to their repertoire. Each child will be taking their food each day. Kid approved and safe utensils will be used.
Participant Name

First NameLast Name
Preferred name & age

Name Age
Guardian name/emergency contact

First NameLast Name
Email you check frequently. I will be emailing correspondence.
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternative Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does your child have any food allergies (including spices)?
If you answered yes, what allergies does your child have?
Will your child require any special food accommodations?
Does your child have any behavior and/ or physical conditions we need to be made Aware of?
How much familiarity does your child have with baking?
Is there any skill you would not want your child to participate in?
Chopping, stirring food while cooking, handling raw meat etc.
Do you grant me permission to use pictures as and/or video of your child but not include names?
Please list names and numbers of persons with permission to pick up your child.
I will have a check out procedure each day for the safety of everyone.
I/We, the undersigned, as the parent or legal guardian of _____________________________ in consideration of the request, give permission for my child to participate in cooking camp activities at The Mad City Events Center. I/We understand and acknowledge by allowing my son/daughter to participate in this activity, the risk of injury exists and medical treatment may be necessary. I/We understand that I/We will be notified if my child, listed above, becomes ill or injured while at camp. I/We agree that upon notification of my child’s illness, I/we will agree to have him/her picked up as soon as possible. In the case of an emergency when I/we can not be reached, I/we hereby give authorization to Roneshia Evans, Her employees, and any treating physician of any Hospital to obtain or provide whatever medical treatment deemed necessary for the immediate welfare of my child, listed above. I/We give permission for Roneshia Evans to release any information on this form to any healthcare provider.

Conditions of Enrollment: I/We understand it is my responsibility to provide accident and health insurance coverage for my child and I/we will be financially responsible for all charges and fees for emergency medical treatment, regardless of whether my medical insurance covers such charges and fees. I/We understand that Roneshia Evans does not provide any insurance. I/We also agree, on behalf of myself/ourselves or my child, not to make any claims of any kind against Roneshia Evans or The MadCity Event Center or any of its employees or agents for any loss or injury that my child might sustain while engaged in the Summer Camp program
Signature
Preferred payment method: cash app($sweetdreamsky), PayPal (craftingyourvisions@gmail.com) or Venmo (sweetdreamsky)
Please let PayPal email, venmo name or cash tag
Should be Empty:

Kids Mini baking Camp Registration Form