2024 Memorial Kid Camps Registration

June 18-June 21 6-8 pm | Please fill out this form and click submit.

Caregiver 1

Name

*

Email

*

This address will receive a confirmation email

Phone

*

May we have permission to photograph your child?

*

Please select one option.

Yes No

May we have permission to use your child's photograph in church publications ofr the purpose of promotion?

*

Please select one option.

Yes No

How did you hear about Memorial Kid Camps?

*

Please select one option.

Facebook Ad Promo Videos Church Signs Postcard Invitation Personal Invitation Church Member

Name of your church (if applicable)

Emergency Contact

First Name

*

Last Name

*

Phone

*

Child 1

First Name

*

Last Name

*

Which camp would they like to attend?

*

Please select one option.

Art Sports (Basketball)

Child's Birthdate

*

Garde (grade they just finished)

*

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Medical Conditions

*

Food allergies or dietary restrictions

*

Child 2

First Name

Last Name

Which camp would they like to attend?

Please select one option.

Art Sports (Basketball)

Child's Birthdate

Grade (grade they just finished)

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Medical Conditions

Food allergies or dietary restrictions

Child 3

First Name

Last Name

Which camp would they like to attend?

Please select one option.

Art Sports (Basketball)

Child's birthdate

Grade (grade they just finished)

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Medical Conditions

Food allergies or dietary restrictions

Child 4

First Name

Last Name

Which camp would they like to attend?

Please select one option.

Art Sports (Basketball)

Child's birthdate

Grade (grade they just finished)

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Medical conditions

Food allergies or dietary restrictions

Description

June 18-June 21 6-8 pm

Please fill out this form and click submit.

Please Fix the Following

Close