Kids Outdoor Adventure Club
 
Kids Outdoor Adventure Club
Child's Name  * 
Grade they will be in in fall of 2017  * 
Parent's Name  * 
Cell Phone Number  * 
Who is an Emergency Contact?  * 
Emergency Contact Phone Number  * 
Please list any physical limitations (Asthma, Diabetes, Allergies, Etc) if none, just answer none.  * 
Is your child allergic to bee stings? poison ivy? poison oak?  * 
Can your child swim?  * 
What size t-shirt does your child wear?  * 
By selecting yes on this question, you acknowledge that the day trips will be off campus. Activities such as hiking, fishing, etc. Child will need backpack, water bottle and lunch. By selecting yes to this question and signing it, you consent to your child's participation in the program and will not hold First Baptist Church Alma or any of its members liable for any medical expenses or other expenses, which might occur in the case of an accident or mishap throughout the trip.  * 
I want to  * 
Your Email Address  * 
Total $
 
 
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