FBC Irvington - Kids Camp Registration

Kids Camp 2024 Registration and Release Form

Please complete registration form for each child attending.

Child Information

First Name

Last Name

Grade

Please list any allergies or medical conditions:

Parent Information

First Name

Last Name

Phone Number

Emergency Contact

First Name

Last Name

Phone Number

Relationship

During Kids Camp 2024 children will be participating in recreational and water slide events. I give my permission to FBC Irvington and attending adults to seek medical attention (including anesthesia) for my child in case of emergency.
Yes

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Kids Camp 2024

Kids Camp 2024 Registration and Release Form

Child Information

Parent Information

Emergency Contact

Service Times

Contact Info

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