Summer Day Camp Registration 2026

Summer Day Camp Registration

Register your child for our fun-filled summer day camp! Please complete all sections below.
Camper's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Camper
Does your child have any allergies, medical conditions or other considerations we need to be aware of?
Consent & Participation Waiver:
As the parent/guardian of the child named above, with my signature, I hereby give my child permission to participate in this activity in its entirety and I agree to hold CFBC, its officers, employees, leaders and volunteers completely harmless including financial responsibility for any injuries sustained, or illness that occurred, regardless of the cause or circumstances. I also grant CFBC permission to obtain medical aid/assistance if necessary.
Parent/Guardian Signature
Should be Empty: