Summer Program Registration Form

Ladies of Favor All Girls Summer Camp Registration Form

Please complete this form for each student registering for the program.
Child Information
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade (as of next school year)
Age
Shirt Size
Parent/Guardian Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
example@example.com
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Please describe your child's personality and overall demeanor. Describe strengths and talents.*
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Ladies of Favor, Inc. during entire summer program.

Details and Information

I understand there is a registration fee and other fees associated with this program and I am willing and able to satisfy my financial committment.

Enrollment Fee*

Summer Camp Registration$50.00

Registration includes official shirt and special gift.

Total $0.00

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature*
Should be Empty:

Ladies of Favor All Girls Summer Camp Registration Form