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The Harbor Kids Camp – Summer 2023 – Registration Form
[email protected]
April 5, 2023
CHILD’S FIRST & LAST NAME:
Child’s DOB
GRADE COMPLETED AS OF MAY 2023:
Toddler
Pre-K
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
HOME ADDRESS
CITY:
STATE:
ZIP:
PARENT FIRST & LAST NAME:
PARENT PHONE NUMBER:
PARENT EMAIL:
ALLERGIES / OTHER IMPORTANT INFO ABOUT MY CHILD:
EMERGENCY CONTACT NAME:
EMERGENCY CONTACT PHONE:
T-SHIRT SIZE:
Youth Small
Youth Medium
Youth Large
Youth Extra Large
I hereby give consent and permission to The Harbor Church to record the appearance, physical likeness and/or voice on videotape, on film, or digital video disk, or other means, and/or take photographs of the appearance of my child.
Send
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