Ferguson Summer Camp Sign Up

Which Program are you signing up for ?

Camp Hours 9-3

Location: First Baptist Church of Decatur

Camp cost: $250 per week

If you are interested in extended hours 3pm-6pm $75.pp per week

Summer Camp

Parents Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Childs Name

First NameLast Name

Additional Children

First NameLast Name

Additional Children

First NameLast Name

Gender

Grade

Age

Emergency Contact

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to Child

Location

*Please note that anyone picking up child, is required to have a photo ID*

Does your child have any allergies?

Any medical conditions or special needs we should be aware of?

Does your child require any medications during camp?

Medical & Safety Information