Clone of Day Camp Registration Form

HEIDELBERG BIBLE FELLOWSHIP

Day Camp 2026 - Growing in God
Registration Form

August 4-7, 2026
Child's Name*

First NameLast Name
Birth Date (child must be at six years old on or before Aug 7, 2026 to register! and no older than twelve.)*

MonthDayYear
School Grade in September 2026*
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
Format: (000) 000-0000.
Home Number (if different)
Format: (000) 000-0000.
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the child prescribed an inhaler? If yes, please explain any instructions.
Does your child have any allergies or fears around animals? (specifically things like lizards, cats, and farm animals).
Does your child have one or more friends they would like to be with them in the same small group? (Note: Groups are age segregated - ages 6-8 and 9 -12)
Enter first and last name(s)
Any other information about your child that we should be aware of?
If someone other than you will be picking up your child, please indicate that person's name here. By submitting this form, you hereby give us permission to release your child into their custody.
Heidelberg Bible Fellowship

2720 Kressler Road, Heidelberg ON N0B 2M1
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HEIDELBERG BIBLE FELLOWSHIP

Registration Form

Heidelberg Bible Fellowship