Harriman Global Methodist Rainforest Falls Kids Adventure Camp

Harriman Global Methodist Kids Adventure Camp Bible School Registration
Thursday, August 6th and Friday August 7th from 5-8 pm.

For Preschool ages 3-5 and Rising 1st through 5th graders.

Harriman Global Methodist Church
601 Queen Ave. Harriman, TN 37748
Ph: 865-882-1353 | churchofharriman@gmail.com
https://harrimanglobalmethodist.com/

PLEASE FILL OUT ALL REQUIRED FIELDS BELOW.
Child's Full Name 1

First NameLast Name
Child's Date of Birth 1

MonthDayYear
Date
Child's Full Name 2

First NameLast Name
Child's Date of Birth 2

MonthDayYear
Date
Child's Full Name 3

First NameLast Name
Child's Date of Birth 3

MonthDayYear
Date
Child's Full Name 4

First NameLast Name
Child's Date of Birth 4

MonthDayYear
Date
Does your child/children have any allergies or medical conditions? Please list all below with your child's/children's names.
Parent/Guardian Name

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

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I hereby grant Harriman Global Methodist Church permission to take photographs/video recordings of my child/children during this event. I understand these media assets may be used for promotional use on Global Methodist Church Facebook or website page.
Parent/Guardian Signature
Should be Empty:

Harriman Global Methodist Kids Adventure Camp Bible School Registration