Grace Kids Summer Camps 2019
 
Grace Kids Summer Camps 2019
First and Last Name of Parent(s):  * 
Full Address:  * 
Primary Phone Number (Best # where you can be reached during camp)  * 
Emergency Contact Name and Phone Number:  * 
Your Email Address  * 
1st Camper's Information
First and Last Name:  * 
Male/Female:  * 
Date of Birth:  * 
Age as of June 1, 2019 (Must be potty trained):  * 
Please describe any allergies or medical conditions (100 character limit):
Registration Fee for 1st Camper:  * 
Junior Cheer Camp and Spy Camp are full. Please contact the office to be put on the waiting list. diana@grace-efc.org
Please select a camp for the week of June 24-28:
Please select a camp for the week of July 8-12:  * 
**FOR SOCCER CAMP ONLY** T-Shirt Size:  * 
2nd Camper's Information
First and Last Name:
Male/Female:
Date of Birth:
Age as of June 1, 2019 (Must be potty trained):
Please describe any allergies or medical conditions (100 character limit):
Registration Fee for 2nd Camper:
Junior Cheer Camp and Spy Camp are full. Please contact the office to be put on the waiting list. diana@grace-efc.org
Please select a camp for the week of June 24-28:
Please select a camp for the week of July 8-12:
**FOR SOCCER CAMP ONLY** T-Shirt Size:  * 
3rd Camper's Information
First and Last Name:
Male/Female:
Date of Birth:
Age as of June 1, 2019 (Must be potty trained):
Please describe any allergies or medical conditions (100 character limit):
Registration Fee for 3rd Camper:
Junior Cheer Camp and Spy Camp are full. Please contact the office to be put on the waiting list. diana@grace-efc.org
Please select a camp for the week of June 24-28:
Please select camp for the week of July 8-12:
**FOR SOCCER CAMP ONLY** T-Shirt Size  * 
Liability Release Section (Release Of All Claims)
I do hereby release, forever discharge and agree to hold harmless Grace Evangelical Free Church of Allen, TX, its' Board, Staff and Youth Sponsors from any and all liability,
claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the
participant that occur while said person(s) are participating in Grace Kids Camps. The undersigned further hereby agrees to hold harmless and indemnify said church, its' directors,
employees and agents for any liability sustained by said acts of said participant(s), including expenses incurred attendant therto. The undersigned further consents to the
administration of first aid and/or doctor's care, or any other form of medical treatment necessitated by illness or injury that may require the same. In the event of the necessity
of such care or treatment as heretofore described, the undersigned agrees to hold harmless and indemnify said church, its' directors, employees and agents from any acts of
malfeasance, and/or failure to act on the part of those children to administer medical care on behalf of the participant(s).
Participant(s) Name(s):  * 
Participant's Insurance Company:  * 
Policy/Group Number:  * 
Phone Number:  * 
Please type your full legal name as your online signature:  * 
Date:  * 
Total $
 
 
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