Kids Camp Registration
Register for our event by filling out the information below:
Family Name
Parents Name(s)
Address
Email Address
Phone Number
Child #1
Name
Gender
Male
Female
Grade beginning September 2019
Choose one:
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #2
Name
Gender
Male
Female
Grade beginning September 2019
Choose one:
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Name
Gender
Male
Female
Grade beginning September 2019
Choose one:
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Additional Information
My payment of $15/one child or $25/family will be made via:
I will mail a check this week
I will drop off payment to the office this week
I will pay online via this website under "Give"
I/We give permission for my child to participate in the VBS/Summer Camp Program at Wayne Presbyterian Church this year. I/We give permission for the VBS/Summer Camp Staff to administer first aide as needed (for cuts, scrapes, etc.) and to seek further medical attention if needed. I/We hereby hold the VBS staff and sponsoring organization(s) as well as its representatives, harmless in the exercise of this authority. I/We also agree to allow my child to be photographed or videotaped by the VBS staff throughout the week.
I/We Agree
REGISTER
Success! This form has been submitted. You are now registered for Roar Kids Camp, July 7-11 and Celebreation Sunday, July 14. We'll see you soon!