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Summer Camp Registration Form

1Children Participating
2Contact Info
3Additional Info
4Consent & Release
5Total & Payment

1. CHILDREN PARTICIPATING

Child's Name Birth Date Any Known allergies and/or physical restrictions? Any medication child is taking? Actions
       
There are no Children.

Maximum number of children reached.

Address(Required)

2. CONTACT INFORMATION

1st Parent / Guardian(Required)
Are you are a church member?(Required)
2nd Parent / Guardian
Are you are a church member?

Emergency contacts (in case parents can’t be reached):

3. ADDITIONAL INFORMATION

Question for the Parent(s): Are you interested in volunteering at the camp?
What can you help with?(Required)
Jobs: Mentor a child, Worship, Kitchen, Craft, Sport etc.

4. CONSENT & RELEASE

In case of emergency, every effort will be made to contact the parents and the emergency numbers listed above. Failing to reach any of the contacts, I give my permission to call a physician or emergency to secure proper emergency treatment. I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur as a result of participation in camp. This release is intended to discharge First Slavic Christian Church and its staff/volunteers.

MM slash DD slash YYYY

5. TOTAL & PAYMENT

Price: $0.00
Price: $30.00
Price: $0.00
Price: $0.00
*Processing Fees will apply for online transactions through PayPal (3.49% + $0.49)

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Bring the cash payment to Alla Rukosuyev by June 17, 2023.
(303) 406-8609
Contact Us
  • contact@fscchurch.com
  • +1(303) 426-1836

ADDRESS
  • 6550 Tennyson St. Arvada, CO 80003

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